Illinois Centers For Pain And Rehab, Sc | |
3400 Griffin Ave Pekin IL 61554-6241 | |
(309) 347-4277 | |
Not Available |
Full Name | Illinois Centers For Pain And Rehab, Sc |
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Speciality | Family Medicine |
Location | 3400 Griffin Ave, Pekin, Illinois |
Authorized Official Name and Position | Volkan Sumer (MEDICAL DIRECTOR) |
Authorized Official Contact | 3093474277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Illinois Centers For Pain And Rehab, Sc 3400 Griffin Ave Pekin IL 61554-6241 Ph: (309) 347-4277 | Illinois Centers For Pain And Rehab, Sc 3400 Griffin Ave Pekin IL 61554-6241 Ph: (309) 347-4277 |
NPI Number | 1689860975 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7618949207 |
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Medicare Enrollment ID | O20040812001091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689860975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Illinois) | Primary |
Provider Name | Volkan Sumer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730185125 PECOS PAC ID: 0042282634 Enrollment ID: I20040819000054 |
Provider Name | Stephen Higgins |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932108636 PECOS PAC ID: 3779531819 Enrollment ID: I20050105000987 |
Provider Name | Christopher S Byers |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053319392 PECOS PAC ID: 0345222618 Enrollment ID: I20050105001019 |
Provider Name | Michael R Salaway |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467450627 PECOS PAC ID: 8022090364 Enrollment ID: I20050412000560 |
Provider Name | Tonya L Dennison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699967463 PECOS PAC ID: 8022305093 Enrollment ID: I20160920001544 |
Provider Name | Shauna L Bivens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194279000 PECOS PAC ID: 0244527919 Enrollment ID: I20160922002867 |
Provider Name | Catherine D Rollyson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841719259 PECOS PAC ID: 8729345426 Enrollment ID: I20171206000092 |
Provider Name | Kristin Ross |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245758630 PECOS PAC ID: 8426387069 Enrollment ID: I20190909000071 |
Provider Name | Kathryn Knott |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023665031 PECOS PAC ID: 7214266709 Enrollment ID: I20190909002735 |
Provider Name | Jordan Pasley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215338033 PECOS PAC ID: 4284966771 Enrollment ID: I20191104000169 |
Provider Name | Drew Henneberg |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992129647 PECOS PAC ID: 1658793336 Enrollment ID: I20200625002100 |
Provider Name | Emily Sendelbach |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1356993828 PECOS PAC ID: 1254668437 Enrollment ID: I20210618000461 |
Provider Name | Cody James Beer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396208310 PECOS PAC ID: 6305239286 Enrollment ID: I20220217001652 |
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Mayclare Iii Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 13th St, Suite E, Pekin, IL 61554 Phone: 309-353-0473 Fax: 309-347-3148 | |
Home Visiting Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Court Street, Suite B, Pekin, IL 61554 Phone: 309-267-2034 Fax: 309-402-0180 | |
Innovative Medical Therapies Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 Broadway St, Suite B, Pekin, IL 61554 Phone: 309-347-2700 | |
Planned Parenthood Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 S 4th Street, Pekin, IL 61554 Phone: 309-347-1274 Fax: 309-347-6283 | |
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