| Dr James Robert Desalvio, DO | |
|
810 W. Anthony Dr., Urbana, IL 61802-7431 | |
| (217) 383-3077 | |
| (217) 383-3519 |
| Full Name | Dr James Robert Desalvio |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
| Location | 810 W. Anthony Dr., Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063539674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 036-094738 (Illinois) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Robert Desalvio, DO 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Dr James Robert Desalvio, DO 810 W. Anthony Dr., Urbana, IL 61802-7431 Ph: (217) 383-3077 |
Philbert Chen, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 810 N. Anthony Drive, Occupational Medicine, Urbana, IL 61801 Phone: 217-383-3229 | |
Mr. William S Scott, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 810 N Anthony Dr, Urbana, IL 61801 Phone: 217-383-3077 Fax: 217-383-3519 | |
Thomas L Sutter, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 810 N. Anthony Drive, Occupational Medicine, Urbana, IL 61801 Phone: 217-383-3229 |