| Jennah Lahood Siwak, MD | |
|
901 W Walnut St, Metamora, IL 61548-8637 | |
| (309) 367-4144 | |
| Not Available |
| Full Name | Jennah Lahood Siwak |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 901 W Walnut St, Metamora, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205220597 | NPI | - | NPPES |
| 036146355 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036146355 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Home Care | Champaign, IL | Home health agency |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proctor Health Systems | 3476440173 | 125 |
| 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 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennah Lahood Siwak, MD 901 W Walnut St, Metamora, IL 61548-8637 Ph: (309) 367-4144 | Jennah Lahood Siwak, MD 901 W Walnut St, Metamora, IL 61548-8637 Ph: (309) 367-4144 |
Michael Whitford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 W Walnut Street, Metamora, IL 61548 Phone: 309-367-4144 | |
Stephanie Lindstrom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 W Walnut Street, Metamora, IL 61548 Phone: 309-367-4144 |