| |
517 N Main St Rm 22, Anna, IL 62906-1668 | |
(618) 833-2295 | |
(618) 833-9058 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rural Health |
Location | 517 N Main St Rm 22, Anna, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184340408 | NPI | - | NPPES |
Provider Name | Christopher J Ostromecki |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1497746390 PECOS PAC ID: 9537159579 Enrollment ID: I20060322000607 |
Provider Name | Jeffery S Deacon |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104919075 PECOS PAC ID: 3274504832 Enrollment ID: I20061221000132 |
Provider Name | Kathy L Schierbaum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700906021 PECOS PAC ID: 8022201516 Enrollment ID: I20101015000966 |
Provider Name | Jill B Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326314634 PECOS PAC ID: 2062642572 Enrollment ID: I20140303000569 |
Provider Name | Elizabeth Shallenberger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104300094 PECOS PAC ID: 7719231562 Enrollment ID: I20181113002809 |
Provider Name | Maribel Alvarado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508636200 PECOS PAC ID: 1658810965 Enrollment ID: I20240830001844 |
Mailing Address | Practice Location Address |
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Po Box 34141, Belfast, ME 04915-0619 Ph: (812) 450-6815 | 517 N Main St Rm 22, Anna, IL 62906-1668 Ph: (618) 833-2295 |