| Clark Olavi Andelin, MD | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-8400 | |
| Not Available |
| Full Name | Clark Olavi Andelin |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1005 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013114453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2007019019 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036148618 (Illinois) | Primary |
| Entity Name | Blessing Corporate Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720186265 PECOS PAC ID: 5991616138 Enrollment ID: O20040116000382 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Olavi Andelin, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Clark Olavi Andelin, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Gina L. Dietrich, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Suite 220, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9172 | |
Dr. Obioma Nnene Maduakor, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Ada A. Kagumba, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Katy Marie Wand, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1118 Hampshire St, Quincy, IL 62301 Phone: 217-222-6550 | |
Peter M. Dureska, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Louis E. Degreeff, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Suite 220, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9172 |