Mitchell Louis Heuermann, MD | |
720 N Bond St, Springfield, IL 62702-4952 | |
(217) 545-8000 | |
(217) 545-6544 |
Full Name | Mitchell Louis Heuermann |
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Gender | Male |
Speciality | Otolaryngology |
Location | 720 N Bond 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 |
---|---|---|---|
1295227783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 036.164552 (Illinois) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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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 |
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Mitchell Louis Heuermann, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Mitchell Louis Heuermann, MD 720 N Bond St, Springfield, IL 62702-4952 Ph: (217) 545-8000 |
Sophia Matos, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Sara M. Wing, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 301 N 8th St Ste 5b, Springfield, IL 62701 Phone: 217-545-8000 | |
Dana Lynn Crosby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Suite Pav5b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-0253 | |
Cindy Margaret Moore, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-0253 | |
Leonard P Rybak, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7781 | |
Rachel Karras, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 |