Midwest Regional Neonatology Associates, Llc
Pediatric Neonatal-Perinatal Medicine
Midwest Regional Neonatology Associates, Llc is a Carbondale, Illinois based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
It is located at
405 W Jackson St, Carbondale, Illinois - 62901-1462. They can be contacted on phone at
618-543-0721 and fax number 618-457-4735.
NPI number (Unique professional ID) for Midwest Regional Neonatology Associates, Llc is
1609937127 which was assigned by NPPES on 12 Dec, 2006 and it was last updated on 22 Aug, 2020.
Midwest Regional Neonatology Associates, Llc license number is
36112572IL for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Illinois.
Midwest Regional Neonatology Associates, Llc is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Midwest Regional Neonatology Associates, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
|---|
| Provider Name : | Midwest Regional Neonatology Associates, Llc |
|---|
Business Address:
Midwest Regional Neonatology Associates, Llc 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 : | 405 W Jackson St
Carbondale, IL, 62901-1462
United States |
|---|
| Phone Number : | 618-543-0721 |
|---|
| Fax Number : | 618-457-4735 |
|---|
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 : | 1609937127 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 12 Dec, 2006 |
|---|
| Last Updated On : | 22 Aug, 2020 |
|---|
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 : | Rebeccag Bolen |
|---|
| Authorized Official Credential : | CPC |
|---|
| Official Title or Position : | OFFICE MANAGER |
|---|
| Phone Number : | 618-549-8464 |
|---|
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 Midwest Regional Neonatology Associates, Llc are as mentioned. Primary taxonomy code for Midwest Regional Neonatology Associates, Llc is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 36112572IL | IL |
Legacy Identifiers:
Other legacy medical identifiers of Midwest Regional Neonatology Associates, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 03932033 | Other | IL | BLUE CROSS BLUE SHEILD |
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 : | 1809 W Main St, #306
Carbondale, IL, 62901-2123
United States |
|---|
| Phone Number : | 618-549-8464 |
|---|
| Fax Number : | 618-457-4735 |
|---|
Business Location:
Patients can refer following map for directions to
Midwest Regional Neonatology Associates, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.