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212 N 4th St Effingham IL 62401-3460 | |
(217) 347-5812 | |
(217) 347-5818 |
Full Name | |
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Speciality | Clinic/Center |
Location | 212 N 4th St, Effingham, Illinois |
Authorized Official Name and Position | Kevin Paul Borntreger (OWNER) |
Authorized Official Contact | 2173475812 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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212 N 4th St Effingham IL 62401-3460 Ph: (217) 347-5812 | 212 N 4th St Effingham IL 62401-3460 Ph: (217) 347-5812 |
NPI Number | 1902330616 |
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Provider Enumeration Date | 04/19/2017 |
Last Update Date | 04/19/2017 |
Medicare PECOS PAC ID | 5395022289 |
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Medicare Enrollment ID | O20170502001356 |
Identifier | Type | State | Issuer |
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1902330616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 038013014 (Illinois) | Primary |
Provider Name | Kevin P Borntreger |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689071359 PECOS PAC ID: 1658666227 Enrollment ID: I20160822000652 |
Provider Name | Brianna N Heuerman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457012601 PECOS PAC ID: 1456743632 Enrollment ID: I20220120000885 |
Paul D. Oltman, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Temple Ave, Suite 204, Effingham, IL 62401 Phone: 217-347-7776 Fax: 217-347-7526 | |
Baggett Chiropractic Care, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Fayette Ave, Effingham, IL 62401 Phone: 217-342-9700 Fax: 217-342-9710 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-347-1211 | |