| Henry Martin-del-campo, | |
|
435 Maxine Dr, Morton, IL 61550-2498 | |
| (309) 263-2424 | |
| (309) 284-2255 |
| Full Name | Henry Martin-del-campo |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 435 Maxine Dr, Morton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457441743 | NPI | - | NPPES |
| P00622434 | Other | RR MEDICARE | |
| CA2182 | Other | RR MEDICARE GROUP # | |
| 0360562779 | Medicaid | IL | |
| 833230 | Other | IL | GROUP # FOR PONTIAC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-062779 (Illinois) | Primary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Martin-del-campo, 435 Maxine Dr, Morton, IL 61550-2498 Ph: (309) 263-2424 | Henry Martin-del-campo, 435 Maxine Dr, Morton, IL 61550-2498 Ph: (309) 263-2424 |
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 W Jackson St, Morton, IL 61550 Phone: 309-938-4067 | |
Sarah White, APN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 E Queenwood Rd Ste 202, Morton, IL 61550 Phone: 309-621-9580 | |
John Dudley Shepherdson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 E Jefferson St, Morton, IL 61550 Phone: 309-266-9711 Fax: 309-266-6322 | |
Dr. Matthew A Stetter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 W Jackson St, Morton, IL 61550 Phone: 309-263-4343 Fax: 309-263-1363 | |
Asha Arshed Gorsi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2244 | |
Dr. Kimberly Yvette Ford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Maxine Dr, Morton, IL 61550 Phone: 309-263-2411 Fax: 309-263-2208 | |
Dr. Jessica A. Tonozzi-kinzinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2244 |