| Alton Multispecialists, Ltd. | |
|
1 Professional Dr Alton IL 62002-5068 | |
| (618) 463-8500 | |
| (618) 474-0130 |
| Full Name | Alton Multispecialists, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Professional Dr, Alton, Illinois |
| Authorized Official Name and Position | Sherri R Henson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6184638634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alton Multispecialists, Ltd. 1 Professional Dr Alton IL 62002-5068 Ph: (618) 463-8500 | Alton Multispecialists, Ltd. 1 Professional Dr Alton IL 62002-5068 Ph: (618) 463-8500 |
| NPI Number | 1942312442 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/30/2016 |
| Medicare PECOS PAC ID | 0840194882 |
|---|---|
| Medicare Enrollment ID | O20031121000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942312442 | NPI | - | NPPES |
| 207219 | Other | IL | PTAN |
| 0317160001 | Other | MEDICARE DME SUPPLIER | |
| 687340 | Other | IL | PTAN |
| 06015403 | Other | IL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-071248 (Illinois) | Secondary |
| 261QR0206X | Clinic/center - Radiology, Mammography | 100867 (Illinois) | Primary |
| Provider Name | Tariq L Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275525271 PECOS PAC ID: 1254387392 Enrollment ID: I20050322001081 |
| Provider Name | Kelly J Lindsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225021165 PECOS PAC ID: 9931003829 Enrollment ID: I20101005001309 |
| Provider Name | Rachel E Durham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730318890 PECOS PAC ID: 3577705771 Enrollment ID: I20130819000592 |
Family Physicians Of Alton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Regional Dr, Alton, IL 62002 Phone: 618-465-7080 Fax: 618-465-7080 | |
Alton Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Memorial Dr, Suite 220, Alton, IL 62002 Phone: 618-462-3191 | |
Cep America - Illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-2571 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 Wickenhauser Ave, Alton, IL 62002 Phone: 618-465-8887 | |
E J Aragona Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Northport Dr, Alton, IL 62002 Phone: 618-466-6177 Fax: 618-466-6388 | |
Central Alton Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-4342 Fax: 618-462-5334 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3490 Humbert Rd, Alton, IL 62002 Phone: 618-465-2626 |