Ms Michelle Alissa Cunningham, MD | |
509 Hamacher Street, Suite 103, Waterloo, IL 62298 | |
(618) 939-3939 | |
(618) 939-0234 |
Full Name | Ms Michelle Alissa Cunningham |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 509 Hamacher Street, Waterloo, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437597846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125062914 (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 | Primary Healthcare Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077 |
Entity Name | Red Bud Illinois Hospital Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740387042 PECOS PAC ID: 2466416821 Enrollment ID: O20041116000148 |
Entity Name | Heartland Rural Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275166134 PECOS PAC ID: 3072513043 Enrollment ID: O20061226000075 |
Entity Name | Red Bud Regional Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992191951 PECOS PAC ID: 6608182555 Enrollment ID: O20150909000045 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle Alissa Cunningham, MD 509 Hamacher Street, Suite 103, Waterloo, IL 62298 Ph: (618) 939-3939 | Ms Michelle Alissa Cunningham, MD 509 Hamacher Street, Suite 103, Waterloo, IL 62298 Ph: (618) 939-3939 |
Dr. Kenneth D Hawn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Hamacher St, Suite 103, Waterloo, IL 62298 Phone: 618-939-2273 Fax: 618-939-0245 |