| Joseph D Conlon, MD | |
|
3501 Old Jacksonville Rd, Springfield, IL 62711-8358 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Joseph D Conlon |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Pediatric Dermatology |
| Location | 3501 Old Jacksonville Rd, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831131697 | NPI | - | NPPES |
| 036115705 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036115705 (Illinois) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 036115705 (Illinois) | Primary |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| 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 |
|---|---|
| Joseph D Conlon, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Joseph D Conlon, MD 3501 Old Jacksonville Rd, Springfield, IL 62711-8358 Ph: (217) 528-7541 |
Mrs. Lucinda S Buescher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-4485 | |
Kortni Michell Kemper, MD Dermatology Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438 | |
Elizabeth A Small, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Adarsh A Kumar, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702 Phone: 217-787-2511 Fax: 217-787-2513 | |
Rebecca J Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4485 | |
Dr. Brittany Sweet, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
Elle Murray Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 |