| Steven R Ginos, MD | |
|
4800 Maine St, Quincy, IL 62305-5875 | |
| (217) 224-6423 | |
| (217) 214-5874 |
| Full Name | Steven R Ginos |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4800 Maine St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740298942 | NPI | - | NPPES |
| 036072864 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-072864 (Illinois) | Primary |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Entity Name | Blessing Corporate Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720186265 PECOS PAC ID: 5991616138 Enrollment ID: O20040116000382 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
| Entity Name | Board Of Trustees Of Southern Illinois University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R Ginos, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 224-6423 | Steven R Ginos, MD 4800 Maine St, Quincy, IL 62305-5875 Ph: (217) 224-6423 |
Pichapa Sangsawad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 | |
Jonathan Wilford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Suite 121, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-277-5960 | |
Taylor J. Moore, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Emmanuel Ifeanyichukwu Ohaa, MBCHB, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 | |
Dana B Altman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Jason Chak Sham Hui, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 | |
Timothy W. Jacobs, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |