| Mr Kamal K Chopra, MD | |
|
604 N Broad St, Carlinville, IL 62626-1021 | |
| (217) 854-9411 | |
| (217) 854-2858 |
| Full Name | Mr Kamal K Chopra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 604 N Broad St, Carlinville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598762262 | NPI | - | NPPES |
| 371406119001 | Medicaid | IL | |
| 036057724 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-057724 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036057724 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carlinville Area Hospital | Carlinville, IL | Hospital |
| Heritage Health-carlinville | Carlinville, IL | Nursing home |
| Hallmark Hc Of Carlinville | Carlinville, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carlinville Medical Clinic Inc | 7719933928 | 2 |
| Entity Name | Carlinville Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730213026 PECOS PAC ID: 7719933928 Enrollment ID: O20050330000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kamal K Chopra, MD 604 N Broad St, Carlinville, IL 62626-1021 Ph: (217) 854-9411 | Mr Kamal K Chopra, MD 604 N Broad St, Carlinville, IL 62626-1021 Ph: (217) 854-9411 |
Dr. Kate Marie Emmerich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20613 N Broad St Ste B, Carlinville, IL 62626 Phone: 217-854-3881 | |
Lourdes M Cruz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 20613 N Broad St, Suite B, Carlinville, IL 62626 Phone: 217-854-3881 Fax: 217-854-3894 |