| Dr Jordan Kristopher Romick, DO | |
| 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | |
| (618) 233-5480 | |
| (618) 222-4792 | 
| Full Name | Dr Jordan Kristopher Romick | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093219404 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036162019 (Illinois) | Secondary | 
| 207Q00000X | Family Medicine | 036162019 (Illinois) | Primary | 
| Entity Name | Southern Illinois Healthcare Foundation, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 | 
| Entity Name | Vituity - Illinois Auc Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jordan Kristopher Romick, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480 | Dr Jordan Kristopher Romick, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480 | 
| Dr. Noah M Cooperstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-7311 | |
| Dr. Patrick Bloecher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880 | |
| Dr. Steven Allen Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
| Dr. Vincent Joseph Duenas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
| Rema Sanghavi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
| Dr. Kevin L Pritchett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 | |
| Dr. James Leon Jablonski Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 |