| Professional Services | |
|
701 N 1st St Springfield IL 62781-5185 | |
| (217) 788-3000 | |
| Not Available |
| Full Name | Professional Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 N 1st St, Springfield, Illinois |
| Authorized Official Name and Position | Ann Bowling (DIRECTOR) |
| Authorized Official Contact | 2175882626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Services Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Professional Services 701 N 1st St Springfield IL 62781-5185 Ph: (217) 788-3000 |
| NPI Number | 1033171343 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 7315835949 |
|---|---|
| Medicare Enrollment ID | O20040305000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033171343 | NPI | - | NPPES |
| 812400 | Other | IL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Craig Russo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790727659 PECOS PAC ID: 7214999457 Enrollment ID: I20041101000223 |
| Provider Name | Nicole A Florence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811983851 PECOS PAC ID: 1052477239 Enrollment ID: I20090313000239 |
| Provider Name | Tiffany A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407082613 PECOS PAC ID: 6901951565 Enrollment ID: I20090902000643 |
| Provider Name | Karen A Sibert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417081134 PECOS PAC ID: 4183754021 Enrollment ID: I20100618000831 |
| Provider Name | Wendi N Spitzig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780919704 PECOS PAC ID: 5294927984 Enrollment ID: I20101013000870 |
| Provider Name | Erin E Zepp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700183480 PECOS PAC ID: 7416131966 Enrollment ID: I20110407000902 |
| Provider Name | Edward A Trudeau |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841250339 PECOS PAC ID: 1850562265 Enrollment ID: I20110915000307 |
| Provider Name | Edward Price Odell Harter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841452463 PECOS PAC ID: 8426275744 Enrollment ID: I20140811001842 |
| Provider Name | Linda L Crews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992842165 PECOS PAC ID: 5496071912 Enrollment ID: I20150227001192 |
| Provider Name | Jessica Lucca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265827729 PECOS PAC ID: 4284954488 Enrollment ID: I20150528002095 |
| Provider Name | Emily A Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508241761 PECOS PAC ID: 8729394119 Enrollment ID: I20150831001983 |
| Provider Name | Mary K Hernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609286327 PECOS PAC ID: 5496061624 Enrollment ID: I20150902000573 |
| Provider Name | Jordan K Sheraden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902298318 PECOS PAC ID: 0244531424 Enrollment ID: I20151211001264 |
| Provider Name | Robyn A Ploessl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205190428 PECOS PAC ID: 5799087540 Enrollment ID: I20160111001623 |
| Provider Name | Lisa M Reith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275828303 PECOS PAC ID: 6002109741 Enrollment ID: I20160719000435 |
| Provider Name | Ashley R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945725 PECOS PAC ID: 0840576120 Enrollment ID: I20170421001138 |
| Provider Name | Clayton Tyler Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376051789 PECOS PAC ID: 8224399720 Enrollment ID: I20180226000765 |
| Provider Name | Jesse Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891282760 PECOS PAC ID: 4880949197 Enrollment ID: I20180608001477 |
| Provider Name | Kimberly K Madison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528555901 PECOS PAC ID: 4789930132 Enrollment ID: I20180627003355 |
| Provider Name | Jaela N. Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290579 PECOS PAC ID: 9537403415 Enrollment ID: I20181204000672 |
| Provider Name | Leah C Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598291635 PECOS PAC ID: 2668705443 Enrollment ID: I20190610002942 |
| Provider Name | Kelsi Lynn Dobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366912040 PECOS PAC ID: 5395076772 Enrollment ID: I20191016001796 |
| Provider Name | Kristina L Garrisson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366075418 PECOS PAC ID: 3971932443 Enrollment ID: I20200403001798 |
| Provider Name | Pamela Lomeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487288171 PECOS PAC ID: 6406286194 Enrollment ID: I20200421000757 |
| Provider Name | Sarah I Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083132963 PECOS PAC ID: 8022382332 Enrollment ID: I20210329002451 |
| Provider Name | Jessica I Switzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811661549 PECOS PAC ID: 7911305719 Enrollment ID: I20211008000934 |
| Provider Name | Shae M Mowry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851054258 PECOS PAC ID: 0446649586 Enrollment ID: I20211111001851 |
| Provider Name | Jamey A Baietto |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184387573 PECOS PAC ID: 1456740034 Enrollment ID: I20211122000085 |
| Provider Name | Carrie Jean Koger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922762798 PECOS PAC ID: 1850782335 Enrollment ID: I20211216000993 |
| Provider Name | Amanda S Ruppel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922747476 PECOS PAC ID: 1850768664 Enrollment ID: I20221108002622 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 | |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 | |
North Dirksen Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 |