| Apg Network Llc | |
|
1181 S State Route 157 Edwardsville IL 62025-3776 | |
| (888) 363-8333 | |
| Not Available |
| Full Name | Apg Network Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1181 S State Route 157, Edwardsville, Illinois |
| Authorized Official Name and Position | Christopher Green (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6184092122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apg Network Llc 1181 S State Route 157 Edwardsville IL 62025-3776 Ph: (888) 363-8333 | Apg Network Llc 1181 S State Route 157 Edwardsville IL 62025-3776 Ph: (888) 363-8333 |
| NPI Number | 1538860200 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 6103264510 |
|---|---|
| Medicare Enrollment ID | O20240404001660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538860200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Christopher R Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568479939 PECOS PAC ID: 1355242843 Enrollment ID: I20040329000885 |
| Provider Name | Stephanie B Hicks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467471359 PECOS PAC ID: 7618055906 Enrollment ID: I20080428000454 |
| Provider Name | Alicia R Borawski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871717231 PECOS PAC ID: 4981753522 Enrollment ID: I20090601000294 |
| Provider Name | Jessica A Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104071067 PECOS PAC ID: 3870655194 Enrollment ID: I20130320000273 |
| Provider Name | Paul M Jonff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154779627 PECOS PAC ID: 6800181447 Enrollment ID: I20160822002973 |
| Provider Name | Elizibeth D Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184085847 PECOS PAC ID: 4486951639 Enrollment ID: I20171117000006 |
| Provider Name | Danielle N Rennie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922515279 PECOS PAC ID: 3072874478 Enrollment ID: I20180227003094 |
| Provider Name | Jodi R Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996130 PECOS PAC ID: 3870828486 Enrollment ID: I20190718000048 |
| Provider Name | Sarah J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457911810 PECOS PAC ID: 3971935289 Enrollment ID: I20191107000084 |
| Provider Name | Christy L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699256644 PECOS PAC ID: 6608288469 Enrollment ID: I20210108002427 |
| Provider Name | Kimberly A Astrauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629722715 PECOS PAC ID: 1557749686 Enrollment ID: I20220602000570 |
| Provider Name | Hamed Sadeghipour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457771073 PECOS PAC ID: 9537470661 Enrollment ID: I20230109000173 |
| Provider Name | Edoardo Ferrari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225645534 PECOS PAC ID: 5092125211 Enrollment ID: I20230415000193 |
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