| Jordan Grace Marganski, MD | |
|
1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| (815) 433-3100 | |
| (815) 433-0879 |
| Full Name | Jordan Grace Marganski |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1100 E Norris Dr, Ottawa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861138232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125080388 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Grace Marganski, MD 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-3100 | Jordan Grace Marganski, MD 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-3100 |
Dr. Anastasia Lvovna Khoubaeva, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-433-0879 | |
Dr. Sheera Lall, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 | |
Michael Thomas Monticciolo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-433-0879 | |
Diana Goodwine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-433-0879 |