Neuropathy Center Of Marion | |
2801 Civic Circle Blvd Ste 2 Marion IL 62959-5274 | |
(217) 839-3040 | |
Not Available |
Full Name | Neuropathy Center Of Marion |
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Speciality | General Practice |
Location | 2801 Civic Circle Blvd Ste 2, Marion, Illinois |
Authorized Official Name and Position | Steven R Jachino (PRESIDENT) |
Authorized Official Contact | 2178393040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropathy Center Of Marion 124 N Macoupin St Gillespie IL 62033-1408 Ph: (217) 839-3040 | Neuropathy Center Of Marion 2801 Civic Circle Blvd Ste 2 Marion IL 62959-5274 Ph: (217) 839-3040 |
NPI Number | 1740957786 |
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Provider Enumeration Date | 08/26/2021 |
Last Update Date | 08/30/2021 |
Medicare PECOS PAC ID | 2769873058 |
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Medicare Enrollment ID | O20211221001338 |
Identifier | Type | State | Issuer |
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1740957786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Joanne Philpot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790370575 PECOS PAC ID: 9234545609 Enrollment ID: I20210309002989 |
Provider Name | Michael Don Summers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154991933 PECOS PAC ID: 3072989870 Enrollment ID: I20221019002366 |
Provider Name | Amy Leeann Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255973830 PECOS PAC ID: 0941635023 Enrollment ID: I20221212002132 |
Provider Name | Bayly Lynn Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295443653 PECOS PAC ID: 9931574852 Enrollment ID: I20230406002172 |
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