| Dennis O Heim, MD | |
|
250 W Kenwood Ave, Decatur, IL 62526-4371 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Dennis O Heim |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 250 W Kenwood Ave, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891891636 | NPI | - | NPPES |
| 036069757 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-069757 (Illinois) | Primary |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis O Heim, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Dennis O Heim, MD 250 W Kenwood Ave, Decatur, IL 62526-4371 Ph: (217) 528-7541 |
Dr. Saranya Tharmakulasingam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Mehrdad Jelodar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3811 Fax: 217-872-0849 | |
Dr. Mohammed J Ahmed, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Amna Karim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Brooke Nicole Ballard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-864-2449 | |
Dr. Mohammud Baleegh, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Amisha Kamath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |