| Dr Stephen J Smart, MD | |
|
6615 N Big Hollow Rd, Peoria, IL 61615-2450 | |
| (309) 691-5200 | |
| (309) 691-5201 |
| Full Name | Dr Stephen J Smart |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 38 Years |
| Location | 6615 N Big Hollow Rd, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265429625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 036092320 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 676 |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen J Smart, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Dr Stephen J Smart, MD 6615 N Big Hollow Rd, Peoria, IL 61615-2450 Ph: (309) 691-5200 |
Kenneth Arnett, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-655-4184 Fax: 309-624-8876 | |
Dr. Penelope A Ewbank, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6615 N Big Hollow Rd, Peoria, IL 61615 Phone: 309-691-5200 Fax: 309-691-5201 |