| Cecilia Howell-canada, MD | |
|
1200 N East St, Olney, IL 62450-2432 | |
| (618) 395-5222 | |
| (618) 395-8552 |
| Full Name | Cecilia Howell-canada |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1200 N East St, Olney, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548269384 | NPI | - | NPPES |
| 31933700 | Medicaid | WI | |
| MD5506 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-136835 (Illinois) | Primary |
| 208000000X | Pediatrics | 5749 (Alaska) | Secondary |
| 208000000X | Pediatrics | 34133 (Wisconsin) | Secondary |
| Entity Name | Friend Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578560090 PECOS PAC ID: 2062494552 Enrollment ID: O20040805001242 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecilia Howell-canada, MD 1200 N East St, Olney, IL 62450-2432 Ph: (618) 395-5222 | Cecilia Howell-canada, MD 1200 N East St, Olney, IL 62450-2432 Ph: (618) 395-5222 |
Rachel Clow, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 363 N West St, Olney, IL 62450 Phone: 618-392-9400 | |
Dr. Robert G Einhorn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Mr. David R Benson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 |