Monroe Clinic Physician Group Illinois Medicare | |
1301 Kiwanis Dr Freeport IL 61032-6907 | |
(815) 235-1406 | |
Not Available |
Full Name | Monroe Clinic Physician Group Illinois Medicare |
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Speciality | Family Medicine |
Location | 1301 Kiwanis Dr, Freeport, Illinois |
Authorized Official Name and Position | Jane Curran-meuli (PRESIDENT) |
Authorized Official Contact | 6083242625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monroe Clinic Physician Group Illinois Medicare 515 22nd Ave Monroe WI 53566-1569 Ph: (608) 324-2770 | Monroe Clinic Physician Group Illinois Medicare 1301 Kiwanis Dr Freeport IL 61032-6907 Ph: (815) 235-1406 |
NPI Number | 1831254036 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 06/05/2024 |
Medicare PECOS PAC ID | 3072425495 |
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Medicare Enrollment ID | O20040112000130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831254036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Le |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972524676 PECOS PAC ID: 5395709877 Enrollment ID: I20041115000810 |
Provider Name | Robert C Cates |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376564898 PECOS PAC ID: 4587605621 Enrollment ID: I20050518000996 |
Provider Name | Anthony R Rogerson |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1730273566 PECOS PAC ID: 0345281358 Enrollment ID: I20050519001023 |
Provider Name | Amy L Johnson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1619998242 PECOS PAC ID: 6406897313 Enrollment ID: I20050519001130 |
Provider Name | Deborah A Setterstrom |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1467526848 PECOS PAC ID: 4688627102 Enrollment ID: I20050520000969 |
Provider Name | Colette M Wyttenbach |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1467599381 PECOS PAC ID: 4486696267 Enrollment ID: I20050523001190 |
Provider Name | Janis L King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922172394 PECOS PAC ID: 5294700498 Enrollment ID: I20050525000908 |
Provider Name | Michael J Muise |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659481844 PECOS PAC ID: 9436188281 Enrollment ID: I20050811000603 |
Provider Name | Jennifer Guffey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831159508 PECOS PAC ID: 1759302672 Enrollment ID: I20051207000697 |
Provider Name | Jennifer L Cilino-folks |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598711699 PECOS PAC ID: 8820010390 Enrollment ID: I20051227000417 |
Provider Name | Christopher E Bussan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952475329 PECOS PAC ID: 0749270650 Enrollment ID: I20070815000708 |
Provider Name | Jeffrey J James |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184682635 PECOS PAC ID: 8628158771 Enrollment ID: I20080102000593 |
Provider Name | Michel Ann Fraser |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437134509 PECOS PAC ID: 9537176995 Enrollment ID: I20080102000613 |
Provider Name | Diane R Pineda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942210604 PECOS PAC ID: 4486715943 Enrollment ID: I20081203000341 |
Provider Name | Cheryl S Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386737674 PECOS PAC ID: 6608840624 Enrollment ID: I20090212000636 |
Provider Name | Katherine A Diemer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396906749 PECOS PAC ID: 4789726100 Enrollment ID: I20100123000153 |
Provider Name | Charles M Stuart |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1548227317 PECOS PAC ID: 4789696436 Enrollment ID: I20100910000635 |
Provider Name | Robert M Bandera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134199458 PECOS PAC ID: 2163619529 Enrollment ID: I20101210000378 |
Provider Name | Jonathan Swindle |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982730206 PECOS PAC ID: 0941355770 Enrollment ID: I20101221000822 |
Provider Name | Eric K Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184645616 PECOS PAC ID: 0547208050 Enrollment ID: I20110124000342 |
Provider Name | Kirsten S Johanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770882219 PECOS PAC ID: 1658559828 Enrollment ID: I20110617000517 |
Provider Name | Elisabeth A Anumu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215185715 PECOS PAC ID: 0840460861 Enrollment ID: I20110907000996 |
Provider Name | Joshua L Morrison |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1700955135 PECOS PAC ID: 8224225016 Enrollment ID: I20120619000197 |
Provider Name | Thomas R Stoiber |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1548234164 PECOS PAC ID: 0143111708 Enrollment ID: I20130226000254 |
Provider Name | Arif Ahmad |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1881615516 PECOS PAC ID: 9234115650 Enrollment ID: I20130716000700 |
Provider Name | Gabriel S Schaab |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679739650 PECOS PAC ID: 8224286257 Enrollment ID: I20130930000169 |
Provider Name | Mia B Mcdermott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609272533 PECOS PAC ID: 0749502474 Enrollment ID: I20141208000231 |
Provider Name | Julio A Delgadillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134523657 PECOS PAC ID: 3870815343 Enrollment ID: I20141211002109 |
Provider Name | Jeffrey G Dinges |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1114072931 PECOS PAC ID: 9032266192 Enrollment ID: I20150210002185 |
Provider Name | Stacy F Cohen |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1588926984 PECOS PAC ID: 6800190018 Enrollment ID: I20170109000392 |
Provider Name | Stephanie A Nesemeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962701318 PECOS PAC ID: 1759679798 Enrollment ID: I20170118002003 |
Provider Name | Ngii N Tazeh |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1508123787 PECOS PAC ID: 5890927255 Enrollment ID: I20170926003092 |
Provider Name | Stephen P Wagner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255443412 PECOS PAC ID: 3971713009 Enrollment ID: I20180518000005 |
Provider Name | Sunil Penesetti |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1255644555 PECOS PAC ID: 7214129162 Enrollment ID: I20180622001460 |
Provider Name | Robert B Macnack |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881826790 PECOS PAC ID: 6507021334 Enrollment ID: I20180927000132 |
Provider Name | Angelica G Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760973234 PECOS PAC ID: 3678824620 Enrollment ID: I20190913001254 |
Provider Name | Mark M Blomberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801336995 PECOS PAC ID: 2769753037 Enrollment ID: I20200817001908 |
Provider Name | Valery Hrad |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427437706 PECOS PAC ID: 8426311358 Enrollment ID: I20210818001714 |
Provider Name | Lindsey A Houle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023762457 PECOS PAC ID: 6305232877 Enrollment ID: I20220409000087 |
Provider Name | Janessa M Pafford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801372511 PECOS PAC ID: 9436400843 Enrollment ID: I20221005003495 |
Provider Name | Vanessa Michalicka |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831630631 PECOS PAC ID: 2466722368 Enrollment ID: I20221102003071 |
Provider Name | Darren J Pipp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528132990 PECOS PAC ID: 6800057555 Enrollment ID: I20230131001665 |
Provider Name | Angela C Miller |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285738757 PECOS PAC ID: 8123008612 Enrollment ID: I20230202002700 |
Provider Name | Sarah Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124519376 PECOS PAC ID: 8022369222 Enrollment ID: I20230228002294 |
Provider Name | Melissa Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316546724 PECOS PAC ID: 8224442264 Enrollment ID: I20230516002732 |
Provider Name | Kelsey Schmidt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366976730 PECOS PAC ID: 5193095958 Enrollment ID: I20230609002612 |
Provider Name | Kathryn Rebedew |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1770826240 PECOS PAC ID: 3971726555 Enrollment ID: I20230727001464 |
Provider Name | Ashley Gabioud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801336219 PECOS PAC ID: 5991160533 Enrollment ID: I20231024001084 |
Provider Name | John Vanwoert |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861428294 PECOS PAC ID: 6406984939 Enrollment ID: I20231118000689 |
Provider Name | Danielle Lynn Venhuizen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508634973 PECOS PAC ID: 5294186920 Enrollment ID: I20240108003104 |
Provider Name | Heidi A. Lobdell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598156986 PECOS PAC ID: 6305281304 Enrollment ID: I20240229002421 |
Provider Name | Zachary Allan Coffman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730755232 PECOS PAC ID: 7719371343 Enrollment ID: I20240521003474 |
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