| Jesse Coleman, DO | |
|
555 W Court St Ste 214, Kankakee, IL 60901-3674 | |
| (815) 928-6131 | |
| Not Available |
| Full Name | Jesse Coleman |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 555 W Court St Ste 214, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720570971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036165169 (Illinois) | Primary |
| 208600000X | Surgery | R-11252 (Iowa) | Secondary |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Coleman, DO 555 W Court St Ste 214, Kankakee, IL 60901-3674 Ph: (815) 928-6131 | Jesse Coleman, DO 555 W Court St Ste 214, Kankakee, IL 60901-3674 Ph: (815) 928-6131 |
Dr. Dong Ouk Kim, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 N Wall St, Suite 410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-7363 | |
Robert Brockman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Suite P640, Kankakee, IL 60901 Phone: 815-932-0911 | |
Dr. Kay Chow Timbers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 | |
Dr. Soren David Lang, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N. Wall St, Suite 410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-7363 | |
Dr. Jeffrey Lincoln Brown, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St Ste P420, Kankakee, IL 60901 Phone: 815-932-0911 Fax: 815-932-0631 | |
Gretchen Kathleen Williams, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 | |
Julian Henderson, MD Surgery Medicare: Medicare Enrolled Practice Location: 555 W Court St Ste 214, Kankakee, IL 60901 Phone: 815-928-6131 |