Dr Liberty Ann Balbort, MD, MPH | |
1025 Maine St, Quincy, IL 62301-4096 | |
(217) 222-6550 | |
Not Available |
Full Name | Dr Liberty Ann Balbort |
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Gender | Female |
Speciality | Pediatrics |
Location | 1025 Maine St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356597090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036126799 (Illinois) | Primary |
Entity Name | Southeast Iowa Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Entity Name | Van Buren County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316063076 PECOS PAC ID: 7214829530 Enrollment ID: O20040329001814 |
Mailing Address | Practice Location Address |
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Dr Liberty Ann Balbort, MD, MPH 1025 Maine St, Quincy, IL 62301-4096 Ph: (217) 222-6550 | Dr Liberty Ann Balbort, MD, MPH 1025 Maine St, Quincy, IL 62301-4096 Ph: (217) 222-6550 |
Charone Tolbert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9370 | |
Dennis E. Go, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Liz Edith Contreras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Richard F Schlepphorst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Todd R Porter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Loretta A Baustian, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Ste 300, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-223-9370 |