| Michael John Sergeant Sr, MD | |
|
475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 | |
| (815) 939-7421 | |
| Not Available |
| Full Name | Michael John Sergeant Sr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 475 Brown Blvd, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205965936 | NPI | - | NPPES |
| 036057704 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036057704 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael John Sergeant Sr, MD 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 Ph: (815) 939-7421 | Michael John Sergeant Sr, MD 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914-2325 Ph: (815) 939-7421 |
Mrs. Azra N Pappa, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 Heritage Dr, Ste 102, Bourbonnais, IL 60914 Phone: 815-937-8204 Fax: 815-937-8798 | |
Mr. Ming Xu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 21 Heritage Drive, Suite 102, Bourbonnais, IL 60914 Phone: 815-937-8204 Fax: 815-937-8798 |