Healthworks | |
2900 Frank Scott Pkwy W Ste 966 Belleville IL 62223-5000 | |
(618) 310-0273 | |
Not Available |
Full Name | Healthworks |
---|---|
Speciality | Family Medicine |
Location | 2900 Frank Scott Pkwy W Ste 966, Belleville, Illinois |
Authorized Official Name and Position | Alicia Marie Whorton (OWNER) |
Authorized Official Contact | 2697799435 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healthworks 2900 Frank Scott Pkwy W Ste 966 Belleville IL 62223-5000 Ph: (269) 779-9435 | Healthworks 2900 Frank Scott Pkwy W Ste 966 Belleville IL 62223-5000 Ph: (618) 310-0273 |
NPI Number | 1366172512 |
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Provider Enumeration Date | 06/12/2022 |
Last Update Date | 03/11/2023 |
Medicare PECOS PAC ID | 6800264979 |
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Medicare Enrollment ID | O20221121001762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366172512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Alicia M Whorton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508490806 PECOS PAC ID: 4486082740 Enrollment ID: I20210622001508 |
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