| Kendra M Hall, MD | |
|
3505 North Bell School Road, Rockford, IL 61114 | |
| (779) 696-0300 | |
| Not Available |
| Full Name | Kendra M Hall |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3505 North Bell School Road, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548251432 | NPI | - | NPPES |
| 036127029 | Medicaid | IL | |
| 575079 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 28978 (Arizona) | Secondary |
| 208000000X | Pediatrics | 036127029 (Illinois) | Primary |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra M Hall, MD Po Box 78866, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Kendra M Hall, MD 3505 North Bell School Road, Rockford, IL 61114 Ph: (779) 696-0300 |
Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 | |
Dr. Gary Patrick Fernando, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742 | |
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570 | |
Patricia L. Moody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2780 Mcfarland Rd, Rockford, IL 61107 Phone: 815-971-2000 Fax: 815-637-0400 | |
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528 | |
Dr. Sarah M. Beaves, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 |