| Promise Healthcare Nfp | |
|
819 Bloomington Rd Champaign IL 61820 | |
| (217) 356-1558 | |
| Not Available |
| Full Name | Promise Healthcare Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 Bloomington Rd, Champaign, Illinois |
| Authorized Official Name and Position | Jennifer Henry (CEO) |
| Authorized Official Contact | 2174035401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Healthcare Nfp 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 356-1558 | Promise Healthcare Nfp 819 Bloomington Rd Champaign IL 61820 Ph: (217) 356-1558 |
| NPI Number | 1578821005 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 6103071345 |
|---|---|
| Medicare Enrollment ID | O20130219000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578821005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jennie Hsu Lumetta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811929219 PECOS PAC ID: 9234043316 Enrollment ID: I20031113000367 |
| Provider Name | Corinne Kohler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053386250 PECOS PAC ID: 8022098169 Enrollment ID: I20040721000302 |
| Provider Name | Melonie M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811062623 PECOS PAC ID: 0446221881 Enrollment ID: I20040802000351 |
| Provider Name | Roselin Arunachalam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962507954 PECOS PAC ID: 5092777110 Enrollment ID: I20041101000954 |
| Provider Name | Archana Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033266044 PECOS PAC ID: 0840258950 Enrollment ID: I20041221000585 |
| Provider Name | Feiteng Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477572733 PECOS PAC ID: 7012962574 Enrollment ID: I20050317000261 |
| Provider Name | Hayng Sung Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215952684 PECOS PAC ID: 3274556998 Enrollment ID: I20060109000937 |
| Provider Name | Alina Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225182702 PECOS PAC ID: 6002918208 Enrollment ID: I20070219000247 |
| Provider Name | Simone R Hampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033184247 PECOS PAC ID: 3173612090 Enrollment ID: I20071130000010 |
| Provider Name | Renu A Bajaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700996568 PECOS PAC ID: 9335239573 Enrollment ID: I20071212000338 |
| Provider Name | Grace Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619147592 PECOS PAC ID: 2365513314 Enrollment ID: I20080618000375 |
| Provider Name | James S Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649483736 PECOS PAC ID: 3375616519 Enrollment ID: I20080721000538 |
| Provider Name | Jamie L Fulfer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093802001 PECOS PAC ID: 3476612813 Enrollment ID: I20081030000288 |
| Provider Name | Valerie S Ellington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629130505 PECOS PAC ID: 7416091046 Enrollment ID: I20100220000405 |
| Provider Name | Sonja E Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710923560 PECOS PAC ID: 3678598661 Enrollment ID: I20110909002441 |
| Provider Name | Anna L Schmitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073720157 PECOS PAC ID: 6800054537 Enrollment ID: I20120227000070 |
| Provider Name | Abigail E. Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306002993 PECOS PAC ID: 1658517446 Enrollment ID: I20130424000267 |
| Provider Name | Angelia C Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700281342 PECOS PAC ID: 7810212958 Enrollment ID: I20150211001739 |
| Provider Name | Nicholas D Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964514 PECOS PAC ID: 6709104532 Enrollment ID: I20150407002314 |
| Provider Name | Kristen Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477959724 PECOS PAC ID: 4385962042 Enrollment ID: I20150409002368 |
| Provider Name | Samuel T Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386012482 PECOS PAC ID: 0941518823 Enrollment ID: I20150925000715 |
| Provider Name | Shellane Tangen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713450 PECOS PAC ID: 4981978897 Enrollment ID: I20170915001583 |
| Provider Name | Crystal Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427557321 PECOS PAC ID: 6305107939 Enrollment ID: I20180222002233 |
| Provider Name | Kaitlyn R Cornell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992290449 PECOS PAC ID: 1850642778 Enrollment ID: I20180915000036 |
| Provider Name | Erika Mclean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669409371 PECOS PAC ID: 9032439815 Enrollment ID: I20181018000934 |
| Provider Name | Raymond Carl Bement |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326102435 PECOS PAC ID: 2466794524 Enrollment ID: I20190422001603 |
| Provider Name | Megan A Leech |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093351413 PECOS PAC ID: 6305272915 Enrollment ID: I20200130000498 |
| Provider Name | Dayana Mathew Karintholil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851051221 PECOS PAC ID: 8820489685 Enrollment ID: I20220105001292 |
| Provider Name | Nathalie Rosine Kori Nkenlifack Manhenkeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609543248 PECOS PAC ID: 8527465624 Enrollment ID: I20220812002358 |
| Provider Name | Theresa Kircher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962130674 PECOS PAC ID: 6305221011 Enrollment ID: I20220916000496 |
| Provider Name | Myoungsu Song |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154932218 PECOS PAC ID: 5597138552 Enrollment ID: I20230222002651 |
| Provider Name | Jenny M. Daab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144662388 PECOS PAC ID: 6002272929 Enrollment ID: I20230519000705 |
| Provider Name | Joseph Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073183646 PECOS PAC ID: 2264838234 Enrollment ID: I20230606003077 |
| Provider Name | Tiffany Renee Johnson-bey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316639537 PECOS PAC ID: 3870954373 Enrollment ID: I20230801000293 |
| Provider Name | Meldomi Asabea Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871376962 PECOS PAC ID: 1951759398 Enrollment ID: I20231127000957 |
| Provider Name | Jessica Lynn Mandrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043084528 PECOS PAC ID: 0345699872 Enrollment ID: I20231209000778 |
| Provider Name | Jaime A Hubbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396511051 PECOS PAC ID: 4183076987 Enrollment ID: I20240117002637 |
| Provider Name | Marilyn Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689441099 PECOS PAC ID: 6204279110 Enrollment ID: I20240207004069 |
| Provider Name | James Lowell Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922308949 PECOS PAC ID: 7416397773 Enrollment ID: I20240503000178 |
| Provider Name | Cindy L Lam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396822276 PECOS PAC ID: 4284074576 Enrollment ID: I20240503001067 |
| Provider Name | Alanna Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740038009 PECOS PAC ID: 0941747364 Enrollment ID: I20240802002942 |
| Provider Name | Aicha Lengane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942040324 PECOS PAC ID: 1456884493 Enrollment ID: I20241029002090 |
| Provider Name | Susan D Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922252568 PECOS PAC ID: 4981128386 Enrollment ID: I20250407003367 |
Dr. Donald E. Janoff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3004 Crossing Ct, Champaign, IL 61822 Phone: 217-352-3252 | |
Healthsource Chiropractic Of Champaign, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2003 Round Barn Rd, Suite B, Champaign, IL 61821 Phone: 217-281-0006 | |
Promise Healthcare Nfp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 S Neil St, Champaign, IL 61820 Phone: 217-356-1558 | |
George P. Savvas M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Springfield Ave, Champaign, IL 61820 Phone: 217-359-7289 | |
Promise Healthcare Nfp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Walnut St, Champaign, IL 61820 Phone: 217-356-1558 | |
Lalitha Yekkirala Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 S Neil St, Ste 1a, Champaign, IL 61820 Phone: 217-403-1111 Fax: 217-403-1119 | |
Planned Parenthood Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 E Stoughton St, Champaign, IL 61820 Phone: 217-359-8022 Fax: 217-359-9625 |