| Dr Haneme Idrizi, MD | |
| 415 N 9th St, Springfield, IL 62702 | |
| (217) 545-8000 | |
| (217) 757-6654 | 
| Full Name | Dr Haneme Idrizi | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 415 N 9th St, Springfield, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649215344 | NPI | - | NPPES | 
| 036-146308 | Other | IL | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 036-146308 (Illinois) | Primary | 
| Entity Name | Siu Physicians & Surgeons Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Haneme Idrizi, MD Po Box 19661, Springfield, IL 62794-9661 Ph: (217) 545-8000 | Dr Haneme Idrizi, MD 415 N 9th St, Springfield, IL 62702 Ph: (217) 545-8000 | 
| Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
| Claudine Gillison,  Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
| Gopinathan Gangadharan Nambiar,  Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392 | |
| Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
| Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654 | |
| John Padanilam,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000 | |
| Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 |