| Jch Medical Group-jerseyville | |
|
390 Maple Summit Rd Illini Bldg Jerseyville IL 62052-2000 | |
| (618) 498-2101 | |
| (618) 498-8153 |
| Full Name | Jch Medical Group-jerseyville |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 Maple Summit Rd, Jerseyville, Illinois |
| Authorized Official Name and Position | Beth A King (CFO) |
| Authorized Official Contact | 6184988350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jch Medical Group-jerseyville 390 Maple Summit Rd Jerseyville IL 62052-2000 Ph: (618) 498-7518 | Jch Medical Group-jerseyville 390 Maple Summit Rd Illini Bldg Jerseyville IL 62052-2000 Ph: (618) 498-2101 |
| NPI Number | 1811392970 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 4587650445 |
|---|---|
| Medicare Enrollment ID | O20141210001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811392970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0001156 (Illinois) | Primary |
Jch Medical Group - Jerseyville Ii Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 Maple Summit Rd, Mcdow Bldg, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 | |
Robert D Childers Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Maple Summit Rd, Ste 300, Jerseyville, IL 62052 Phone: 618-498-8470 Fax: 618-498-8488 | |
Jch Medical Group- Jerseyville Iv Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 903 S State St, Jerseyville, IL 62052 Phone: 618-639-9255 Fax: 618-639-8000 | |
Medical Associates Of Jerseyville, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Maple Summit Rd, Mcdow Building, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 | |
S S Kurella Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Edgewood Ave, Jerseyville, IL 62052 Phone: 618-498-4606 |