| Courtney L Pyant-dan-pullo, MD | |
|
25 N Harlem Ave, Freeport, IL 61032-3801 | |
| (815) 599-7750 | |
| (815) 599-7546 |
| Full Name | Courtney L Pyant-dan-pullo |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 25 N Harlem Ave, Freeport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023379831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036130355 (Illinois) | Primary |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney L Pyant-dan-pullo, MD 421 W Exchange St, Po Box 268, Freeport, IL 61032-4008 Ph: (815) 599-7950 | Courtney L Pyant-dan-pullo, MD 25 N Harlem Ave, Freeport, IL 61032-3801 Ph: (815) 599-7750 |
Farouk Isawi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Avenue, Freeport, IL 61032 Phone: 815-599-7788 | |
Ruhee Sidhu, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750 Fax: 815-599-7546 | |
Keith R Martin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7750 |