| Dr Jean Marie Kolb, MD | |
|
501a S Towanda Barnes Rd Ste 2, Bloomington, IL 61705-4031 | |
| (309) 612-9002 | |
| Not Available |
| Full Name | Dr Jean Marie Kolb |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 501a S Towanda Barnes Rd Ste 2, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396844189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-104542 (Illinois) | Primary |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jean Marie Kolb, MD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Dr Jean Marie Kolb, MD 501a S Towanda Barnes Rd Ste 2, Bloomington, IL 61705-4031 Ph: (309) 612-9002 |
Dr. Lucas C Pogue, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-8311 Fax: 309-661-3390 | |
Dr. Aaron Reid Traeger, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7337 | |
Stephen Trainor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 302 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-664-3100 Fax: 309-664-3027 | |
Dr. Sanjay Saxena, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2427 Maloney Dr, Bloomington, IL 61704 Phone: 309-663-1011 Fax: 309-665-0825 | |
Mrs. Chalermlarp Mongkolsmai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2206 Berrywood Ln, Bloomington, IL 61704 Phone: 309-662-2032 | |
Dr. Jodie Dewey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-664-3100 Fax: 309-664-3027 | |
Dr. Andrea Michelle Kane, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7337 |