| Lori L Pegram, MD | |
|
302 Saint Joseph Dr, Bloomington, IL 61701-3506 | |
| (309) 664-3100 | |
| (309) 664-3027 |
| Full Name | Lori L Pegram |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 302 Saint Joseph Dr, Bloomington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215947171 | NPI | - | NPPES |
| IL2613 | Other | IL | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036072679 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori L Pegram, MD 302 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 664-3100 | Lori L Pegram, MD 302 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 664-3100 |
Dr. Venkata Ranganadh Dodda, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 | |
Kumarpal Shrishrimal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Ste 3000, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455 | |
Robert Bruha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455 | |
Kenneth H. Inoue, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Paul Pedersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742 | |
Rajeev Varma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Nasiruddin Khokhar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151 |