Harrison C Putman Iii, MD | |
7301 N Knoxville Ave, Peoria, IL 61614-2017 | |
(309) 589-3233 | |
(309) 683-4120 |
Full Name | Harrison C Putman Iii |
---|---|
Gender | Male |
Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
Location | 7301 N Knoxville Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477524171 | NPI | - | NPPES |
7215792 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | (Illinois) | Primary |
Entity Name | Facial Plastic And Laser Surgery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194888677 PECOS PAC ID: 1557455961 Enrollment ID: O20070917000132 |
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 |
Entity Name | Rashid Plastic Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902258874 PECOS PAC ID: 0244527844 Enrollment ID: O20160926001688 |
Mailing Address | Practice Location Address |
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Harrison C Putman Iii, MD 7301 N Knoxville Ave, Peoria, IL 61614-2017 Ph: (309) 589-3233 | Harrison C Putman Iii, MD 7301 N Knoxville Ave, Peoria, IL 61614-2017 Ph: (309) 589-3233 |
Dr. Ira David Uretzky, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria Ear Nose & Throat, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-589-0448 | |
Mr. Robert Thomas Parrish, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
Mr. James Curtis Hertenstein, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
James A Geraghty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
David Zaboli, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 844 W Trailcreek Dr, Peoria, IL 61614 Phone: 000-000-0000 | |
Dr. James J Klemens, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 |