| Dr Joel Nilles, DO | |
|
Virginia & Franklin Streets, Normal, IL 61761 | |
| (309) 827-4321 | |
| Not Available |
| Full Name | Dr Joel Nilles |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | Virginia & Franklin Streets, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376571844 | NPI | - | NPPES |
| 036099319-1 | Medicaid | IL | |
| 05721369 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036099319 (Illinois) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 036-099319 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
| 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 Joel Nilles, DO 213 Willard Ave, Bloomington, IL 61701-5652 Ph: (309) 310-3994 | Dr Joel Nilles, DO Virginia & Franklin Streets, Normal, IL 61761 Ph: (309) 827-4321 |
Julie Lewis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Emergency Department, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Stephanie Sullivan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Thomas Pliura, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Dr. Melvin Ehrhardt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Tomasz Przednowek, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5130 | |
Dr. Parasakthi Kolandaivelu, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Ross David Percell, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-5130 Fax: 309-268-5784 |