| Lori Cudone, MD | |
|
1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 | |
| (217) 258-2409 | |
| (217) 258-2323 |
| Full Name | Lori Cudone |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 1005 Health Center Dr Ste 201, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003037169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 125-051257 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | 036-127079 (Illinois) | Primary |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Cudone, MD Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Lori Cudone, MD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 Ph: (217) 258-2409 |
Dr. Mary Elizabeth Gorman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Michael Smith, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Sandra Lynn Ettema, M.D., PH.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Harry Robert Borovik, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 |