Marci L Well
MD | Pediatrics | Female
Marci L Well, MD is a Canton, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Marci L Well is
180 S Main St, Canton, Illinois - 61520-2608. She can be contacted on phone at
309-647-0201 and fax number 309-649-6880.
Marci L Well is a sole proprietor of her business.
NPI number (Unique professional ID) for Marci L Well is
1821107699 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 13 Apr, 2021.
Marci L Well license number is
036100137 for Pediatrics (208000000X) in Illinois.
Marci L Well 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:
Marci L Well basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Marci L Well |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Marci L Well 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 : | 180 S Main St
Canton, IL, 61520-2608
United States |
|---|
| Phone Number : | 309-647-0201 |
|---|
| Fax Number : | 309-649-6880 |
|---|
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 : | 1821107699 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 13 Apr, 2021 |
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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 Marci L Well are as mentioned. Primary taxonomy code for Marci L Well, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036100137 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Marci L Well such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| IL0128 | Other | IL | JOHN DEERE |
| 0062839 | Other | IL | IMWA |
| 370016768 | Other | IL | RR MEDICARE PIN |
| 417678 | Other | IL | HEALTH LINK |
| 049801 | Other | IL | HEALTH ALLIANCE |
| 200397 | Other | IL | BLACK LUNG |
| 036100137 | MEDICAID | IL | |
| 1942315197 | Other | IL | NPI CLINIC NUMBER |
| CG5172 | Other | IL | RR MEDICARE GROUP# |
| 02922981 | Other | IL | BCBS |
| 100137 | Other | IL | OSF HEALTHPLANS |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
408 S MAIN ST,
LEWISTOWN, IL, 61542-1563
United States | LEWISTOWN, IL | 309-547-9700 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | marci.well@gmgil.eclinicaldirectplus.com
| | HIE
Health Information Exchange (HIE)
|
| 180 S MAIN ST,
CANTON, IL, 61520-2608
United States |
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 : | 180 S Main St
Canton, IL, 61520-2608
United States |
|---|
| Phone Number : | 309-647-0201 |
|---|
| Fax Number : | 309-649-5101 |
|---|
Business Location:
Patients can refer following map for directions to
Marci L Well practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.