| Dr John C Kell, MD | |
|
101 S Major St, Eureka, IL 61530-1246 | |
| (309) 467-2371 | |
| (309) 467-2963 |
| Full Name | Dr John C Kell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 101 S Major St, Eureka, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114987518 | NPI | - | NPPES |
| 036100702 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036100702 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 036100702 (Illinois) | Secondary |
| 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 | 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 John C Kell, MD 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 467-2371 | Dr John C Kell, MD 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 467-2371 |
Tomislav Lakic, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 S Major St, Eureka, IL 61530 Phone: 309-304-2100 | |
Nicholas Ryan Reinhart, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 South Major Street, 101 South Major Street, Eureka, IL 61530 Phone: 309-467-4145 |