| Zuzana Jackevicius Killam, | |
|
109 E Maple St, Gillespie, IL 62033-1473 | |
| (217) 839-1526 | |
| (217) 839-1538 |
| Full Name | Zuzana Jackevicius Killam |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 109 E Maple St, Gillespie, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306584917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209025228 (Illinois) | Primary |
| Entity Name | Macoupin County Public Health Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Zuzana Jackevicius Killam, 205 Oakland Ave, Carlinville, IL 62626-1921 Ph: (217) 854-3223 | Zuzana Jackevicius Killam, 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 839-1526 |
Jamie J Ott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-854-3223 | |
Ashley D Greenwalt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-854-3223 | |
Sandra L Cania, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 | |
Sheri Lynne Banovic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 South Macoupin Street, Gillespie, IL 62033 Phone: 217-839-1526 | |
Samantha Thomas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 | |
Melinda S Edwards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 |