| Ryan D. Schmidgall, S.c. | |
|
50 Valley Forge Rd Washington IL 61571-2372 | |
| (309) 444-8447 | |
| (309) 444-2003 |
| Full Name | Ryan D. Schmidgall, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 50 Valley Forge Rd, Washington, Illinois |
| Authorized Official Name and Position | Ryan Daniel Schmidgall (OWNER) |
| Authorized Official Contact | 3094448447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D. Schmidgall, S.c. 50 Valley Forge Rd Washington IL 61571-2372 Ph: (309) 444-8447 | Ryan D. Schmidgall, S.c. 50 Valley Forge Rd Washington IL 61571-2372 Ph: (309) 444-8447 |
| NPI Number | 1386664381 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 2466465117 |
|---|---|
| Medicare Enrollment ID | O20060724000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386664381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Ryan D Schmidgall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548204779 PECOS PAC ID: 1456315977 Enrollment ID: I20060726000071 |
Illini Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Cummings Ln, Washington, IL 61571 Phone: 309-444-3627 Fax: 309-444-7158 | |
Washington Christian Village Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Newcastle Rd, Washington, IL 61571 Phone: 309-444-3161 Fax: 309-444-7397 |