| Dr Bryan J Kemker, MD | |
|
101 E Miller Rd, Sterling, IL 61081 | |
| (815) 625-4790 | |
| Not Available |
| Full Name | Dr Bryan J Kemker |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 101 E Miller Rd, Sterling, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366439390 | NPI | - | NPPES |
| 036-092108 | Medicaid | IL | |
| P00654906 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036092108 (Illinois) | Primary |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan J Kemker, MD 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: () - | Dr Bryan J Kemker, MD 101 E Miller Rd, Sterling, IL 61081 Ph: (815) 625-4790 |
David R Bruce, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 | |
Michael Gerberi, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1002 Greden Shores Dr., Sterling, IL 61081 Phone: 815-441-2186 | |
Dr. Terry L Donat, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 101 E Miller Rd, Sterling, IL 61081 Phone: 815-625-4790 Fax: 815-632-5845 |