| Granite City Urgent Care Walk-in Clinic | |
|
2861 Madison Ave Granite City IL 62040-3614 | |
| (734) 771-8504 | |
| (313) 948-3041 |
| Full Name | Granite City Urgent Care Walk-in Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2861 Madison Ave, Granite City, Illinois |
| Authorized Official Name and Position | Mian Rizwan (PROVIDER) |
| Authorized Official Contact | 3143170600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite City Urgent Care Walk-in Clinic 2861 Madison Ave Granite City IL 62040-3614 Ph: (618) 709-7723 | Granite City Urgent Care Walk-in Clinic 2861 Madison Ave Granite City IL 62040-3614 Ph: (734) 771-8504 |
| NPI Number | 1659861953 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 1951658285 |
|---|---|
| Medicare Enrollment ID | O20180718001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659861953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Missouri) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Julie Benhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902130941 PECOS PAC ID: 3971641655 Enrollment ID: I20130204000160 |
| Provider Name | Jacqueline Ann Bode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245572213 PECOS PAC ID: 5597980094 Enrollment ID: I20140625000877 |
| Provider Name | Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629521109 PECOS PAC ID: 7315235538 Enrollment ID: I20161004000956 |
| Provider Name | Jessica E Henke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497201057 PECOS PAC ID: 5193013191 Enrollment ID: I20161006001325 |
| Provider Name | Blair Bone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518402064 PECOS PAC ID: 6507140837 Enrollment ID: I20170418002680 |
| Provider Name | Kelly A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619123353 PECOS PAC ID: 4284992025 Enrollment ID: I20171227001341 |
| Provider Name | Lori Np Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912104043 PECOS PAC ID: 6901930841 Enrollment ID: I20180514001734 |
| Provider Name | Mian Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437380276 PECOS PAC ID: 0042460412 Enrollment ID: I20180718001732 |
| Provider Name | Malissa A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285113217 PECOS PAC ID: 6901157932 Enrollment ID: I20181008001657 |
| Provider Name | Tracie Leigh Placher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757103 PECOS PAC ID: 4082943436 Enrollment ID: I20190910001454 |
| Provider Name | Alice Halliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871243 PECOS PAC ID: 2769814946 Enrollment ID: I20191108000253 |
| Provider Name | Robin Marion Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578199980 PECOS PAC ID: 0547699084 Enrollment ID: I20200403000520 |
| Provider Name | Zahoorul Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033341060 PECOS PAC ID: 7214184159 Enrollment ID: I20200511003120 |
| Provider Name | Christina Radosevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811527120 PECOS PAC ID: 5698196970 Enrollment ID: I20200522002469 |
| Provider Name | Mary C Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042648 PECOS PAC ID: 7810316148 Enrollment ID: I20201006000484 |
| Provider Name | Kathryn F Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416134 PECOS PAC ID: 3072926120 Enrollment ID: I20210108001182 |
| Provider Name | Christy L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699256644 PECOS PAC ID: 6608288469 Enrollment ID: I20210108002427 |
| Provider Name | Heather R Hupperts -harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851999585 PECOS PAC ID: 0345654539 Enrollment ID: I20210129001031 |
| Provider Name | Paige Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730775966 PECOS PAC ID: 5496169625 Enrollment ID: I20210130000130 |
| Provider Name | Ginny Mense |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043816374 PECOS PAC ID: 5395159461 Enrollment ID: I20210201001633 |
| Provider Name | Amanda Jean Mersman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689263667 PECOS PAC ID: 8729493614 Enrollment ID: I20210301000509 |
| Provider Name | Rachel Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700478328 PECOS PAC ID: 6305252040 Enrollment ID: I20210304001168 |
| Provider Name | Amanda J Ben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049698 PECOS PAC ID: 2769897768 Enrollment ID: I20210510002596 |
| Provider Name | Clare R Arentsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225645690 PECOS PAC ID: 7416358262 Enrollment ID: I20210630001961 |
| Provider Name | Megan J Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053981423 PECOS PAC ID: 1658775390 Enrollment ID: I20210803002308 |
| Provider Name | Saundra E Winterrowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659046266 PECOS PAC ID: 6204231418 Enrollment ID: I20210826002020 |
| Provider Name | Sharonda A Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588324727 PECOS PAC ID: 2264824879 Enrollment ID: I20220120000081 |
| Provider Name | David Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902566458 PECOS PAC ID: 7315332343 Enrollment ID: I20220309002843 |
| Provider Name | Denita Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619361078 PECOS PAC ID: 0446659411 Enrollment ID: I20220408001059 |
| Provider Name | Taylor Well |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700325 PECOS PAC ID: 6608254867 Enrollment ID: I20220601000631 |
| Provider Name | Kayla Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457977274 PECOS PAC ID: 9931587896 Enrollment ID: I20220606000204 |
| Provider Name | Renee M Lindner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424766 PECOS PAC ID: 5799166443 Enrollment ID: I20220713001316 |
| Provider Name | Jennine M Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932559 PECOS PAC ID: 5991180267 Enrollment ID: I20220922002409 |
| Provider Name | Emily C Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740934629 PECOS PAC ID: 7012393234 Enrollment ID: I20220926001463 |
| Provider Name | Karley Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321651 PECOS PAC ID: 1759758550 Enrollment ID: I20221108002239 |
| Provider Name | Anna Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255043964 PECOS PAC ID: 9032580865 Enrollment ID: I20230113001750 |
| Provider Name | Tiffany Hosp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356037592 PECOS PAC ID: 2961867858 Enrollment ID: I20230427003069 |
| Provider Name | Alishia Jacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851179675 PECOS PAC ID: 7315384443 Enrollment ID: I20240325001262 |
| Provider Name | Kaitlyn Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225461668 PECOS PAC ID: 2668911652 Enrollment ID: I20240821004923 |
| Provider Name | Kristen Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669209904 PECOS PAC ID: 6103357520 Enrollment ID: I20241009000937 |
| Provider Name | Monica Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306670344 PECOS PAC ID: 7618404591 Enrollment ID: I20241217003458 |
| Provider Name | Lori Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492907 PECOS PAC ID: 3274808704 Enrollment ID: I20250218000314 |
| Provider Name | Joanne N Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053844290 PECOS PAC ID: 5799118774 Enrollment ID: I20250411000963 |
Granite City Physicians Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-798-8652 Fax: 618-798-8116 | |
Apex Physical Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3908 Maryville Rd Ste 2, Granite City, IL 62040 Phone: 618-709-4125 | |
Granite City Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 27, Granite City, IL 62040 Phone: 618-451-7600 Fax: 618-451-7685 | |
Old Six Mile Inpatient Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Chestnut Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-512-1919 Fax: 618-512-1920 | |
American Healthcare Systems Illinois Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 818-666-0602 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1832 Cleveland Blvd, Granite City, IL 62040 Phone: 618-397-3303 Fax: 618-397-7802 |