| Robert Parks, MD | |
|
201 Bailey Ln, Benton, IL 62812-1969 | |
| (618) 439-3161 | |
| Not Available |
| Full Name | Robert Parks |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 201 Bailey Ln, Benton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356380497 | NPI | - | NPPES |
| 036040484 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036040484 (Illinois) | Primary |
| Entity Name | Franklin Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
| Entity Name | Illinois Veterans Home At Anna |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326105636 PECOS PAC ID: 3678554649 Enrollment ID: O20040526000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Parks, MD 3505 Broadway St, Mount Vernon, IL 62864-2202 Ph: (618) 242-1397 | Robert Parks, MD 201 Bailey Ln, Benton, IL 62812-1969 Ph: (618) 439-3161 |
Christopher J Ostromecki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-899-3900 | |
Dr. Saeed Ahmad Khan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Lane, Benton, IL 62812 Phone: 618-435-8189 Fax: 618-439-3173 | |
Gemilo Resaba, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-7126 |