| Tomislav Lakic, MD | |
|
101 S Major St, Eureka, IL 61530-1246 | |
| (309) 304-2100 | |
| Not Available |
| Full Name | Tomislav Lakic |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 101 S Major St, Eureka, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629057872 | NPI | - | NPPES |
| 036110508 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 45871 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 36110508 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Genesis Medical Center, Aledo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225380967 PECOS PAC ID: 7315190436 Enrollment ID: O20130405000438 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Tomislav Lakic, MD 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 304-2100 | Tomislav Lakic, MD 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 304-2100 |
Dr. John C Kell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 S Major St, Eureka, IL 61530 Phone: 309-467-2371 Fax: 309-467-2963 | |
Nicholas Ryan Reinhart, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 South Major Street, 101 South Major Street, Eureka, IL 61530 Phone: 309-467-4145 |