| Julio R Loret De Mola, MD | |
| 751 N Rutledge St, Suite 0100, Springfield, IL 62702-4968 | |
| (217) 545-8000 | |
| (217) 545-3119 | 
| Full Name | Julio R Loret De Mola | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology - Reproductive Endocrinology | 
| Location | 751 N Rutledge St, 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 | 
|---|---|---|---|
| 1326071887 | NPI | - | NPPES | 
| 036118863 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036-118863 (Illinois) | Secondary | 
| 207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 036-118863 (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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Julio R Loret De Mola, MD 751 N Rutledge St, Ste 3100, Springfield, IL 62702-4968 Ph: (217) 545-8000 | Julio R Loret De Mola, MD 751 N Rutledge St, Suite 0100, Springfield, IL 62702-4968 Ph: (217) 545-8000 | 
| Robert Marc Abrams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, 6w100, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 | |
| Jillian Henry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St, 2nd Floor, Springfield, IL 62702 Phone: 217-757-7932 Fax: 217-757-7920 | |
| Grace Welp, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7958 | |
| Dr. Sara Beth Rubenacker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 | |
| Dustin Stehling, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
| Nora Taylor Maczura, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-535-3665 | |
| Dr. Elizabeth Ramsey Unal, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, Ste 6w100, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 |