Illini Medical Associates, Sc
Pediatrics
Illini Medical Associates, Sc is a Jacksonville, Illinois based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1440 W Walnut St, Ste 2a, Jacksonville, Illinois - 62650-1143. They can be contacted on phone at
217-343-3543 and fax number 217-343-2323.
NPI number (Unique professional ID) for Illini Medical Associates, Sc is
1891034294 which was assigned by NPPES on 05 Feb, 2013 and it was last updated on 06 Feb, 2013.
Illini Medical Associates, Sc license number is
036103709 for Pediatrics (208000000X) in Illinois.
Illini Medical Associates, Sc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Illini Medical Associates, Sc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Illini Medical Associates, Sc |
|---|
Business Address:
Illini Medical Associates, Sc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1440 W Walnut St, Ste 2a
Jacksonville, IL, 62650-1143
United States |
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| Phone Number : | 217-343-3543 |
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| Fax Number : | 217-343-2323 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891034294 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 05 Feb, 2013 |
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| Last Updated On : | 06 Feb, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Michaels Mcnear |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CHIEF OPERATING OFFICER |
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| Phone Number : | 618-498-7518 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Illini Medical Associates, Sc are as mentioned. Primary taxonomy code for Illini Medical Associates, Sc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036103709 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Illini Medical Associates, Sc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4215006 | Other | IL | BCBS OF IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 390 Maple Summit Rd
Jerseyville, IL, 62052-2000
United States |
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| Phone Number : | 618-498-7518 |
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| Fax Number : | 618-639-0385 |
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Business Location:
Patients can refer following map for directions to
Illini Medical Associates, Sc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.