| Osh-il Physicians Group Llc | |
|
2420 State St East Saint Louis IL 62205-2321 | |
| (618) 318-8809 | |
| (618) 615-4205 |
| Full Name | Osh-il Physicians Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2420 State St, East Saint Louis, Illinois |
| Authorized Official Name and Position | Terrence Morton (CMO) |
| Authorized Official Contact | 7046074835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osh-il Physicians Group Llc Po Box 746096 Atlanta GA 30374-6096 Ph: (773) 352-1515 | Osh-il Physicians Group Llc 2420 State St East Saint Louis IL 62205-2321 Ph: (618) 318-8809 |
| NPI Number | 1265977698 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 07/23/2025 |
| Medicare PECOS PAC ID | 3870877699 |
|---|---|
| Medicare Enrollment ID | O20170222002860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265977698 | NPI | - | NPPES |
| Provider Name | Joel J E Augustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952421042 PECOS PAC ID: 9335237387 Enrollment ID: I20071108000751 |
| Provider Name | Kevin P Malone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003082488 PECOS PAC ID: 7214002310 Enrollment ID: I20101007000277 |
| Provider Name | Sergio Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588705230 PECOS PAC ID: 4880875566 Enrollment ID: I20110301000558 |
| Provider Name | Priscilla Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205116282 PECOS PAC ID: 8527230325 Enrollment ID: I20111019000782 |
| Provider Name | Daniel Novella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366670846 PECOS PAC ID: 0547426447 Enrollment ID: I20120720000535 |
| Provider Name | Joanna L Kmiecik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508173329 PECOS PAC ID: 0648427401 Enrollment ID: I20120829000714 |
| Provider Name | Andrea Khosropour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689802340 PECOS PAC ID: 3072758770 Enrollment ID: I20130401000103 |
| Provider Name | Francina M Peralta Machado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508181108 PECOS PAC ID: 0446476899 Enrollment ID: I20140722000473 |
| Provider Name | Barbara J Hardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811307614 PECOS PAC ID: 0941426621 Enrollment ID: I20140801001902 |
| Provider Name | Diana Guillaume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396037685 PECOS PAC ID: 0042532806 Enrollment ID: I20141204002482 |
| Provider Name | Tina Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780905349 PECOS PAC ID: 6507096443 Enrollment ID: I20150218000749 |
| Provider Name | Vanessa E Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205234879 PECOS PAC ID: 2264758739 Enrollment ID: I20150226001810 |
| Provider Name | Rebecca Ann Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841553294 PECOS PAC ID: 8820309941 Enrollment ID: I20150616002190 |
| Provider Name | Michelle Lee Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508120783 PECOS PAC ID: 5496067910 Enrollment ID: I20150710002328 |
| Provider Name | Ashley Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033409297 PECOS PAC ID: 9234376054 Enrollment ID: I20150831002841 |
| Provider Name | Sarah Lazarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142711 PECOS PAC ID: 4981911393 Enrollment ID: I20150917001712 |
| Provider Name | Mira Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20150925000574 |
| Provider Name | Erin Alcazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698607 PECOS PAC ID: 8921243940 Enrollment ID: I20160205002483 |
| Provider Name | Jessica Nicole Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600970 PECOS PAC ID: 9032415815 Enrollment ID: I20160613000818 |
| Provider Name | Jorel O Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336553684 PECOS PAC ID: 7618271131 Enrollment ID: I20170105000543 |
| Provider Name | Nicole M Limon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750789756 PECOS PAC ID: 6800177817 Enrollment ID: I20170106000618 |
| Provider Name | Gioconda Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558806539 PECOS PAC ID: 8224310404 Enrollment ID: I20170124000536 |
| Provider Name | Elizabeth Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235517954 PECOS PAC ID: 1355617515 Enrollment ID: I20171017000580 |
| Provider Name | Donna M Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114446515 PECOS PAC ID: 2668737743 Enrollment ID: I20180518001444 |
| Provider Name | Kimberly Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700350170 PECOS PAC ID: 6507293792 Enrollment ID: I20200330001071 |
| Provider Name | Terica Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285056713 PECOS PAC ID: 8426303470 Enrollment ID: I20200713000766 |
| Provider Name | Margaux Dechambre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427589134 PECOS PAC ID: 7214208982 Enrollment ID: I20200917001075 |
| Provider Name | Michelle Woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942690243 PECOS PAC ID: 2466778063 Enrollment ID: I20210709002021 |
| Provider Name | Siroth Charnond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265421218 PECOS PAC ID: 3779617352 Enrollment ID: I20211122000121 |
| Provider Name | Michele Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174505325 PECOS PAC ID: 9234215401 Enrollment ID: I20220730000421 |
| Provider Name | Lindsay Chrzanowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003566258 PECOS PAC ID: 0143603209 Enrollment ID: I20230331001827 |
| Provider Name | Alicia Michelle Collier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851866610 PECOS PAC ID: 6002358009 Enrollment ID: I20240605003180 |
| Provider Name | Megan Romine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922236181 PECOS PAC ID: 5294983011 Enrollment ID: I20240827000704 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0207 Fax: 618-271-9617 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905 | |
Southern Illinois Regional Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1736 Kingshighway, East Saint Louis, IL 62204 Phone: 618-874-3120 Fax: 618-215-4048 | |
Roadside Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 State Route 203, Suite 1, East Saint Louis, IL 62201 Phone: 941-225-2520 Fax: 888-860-8609 | |
Kenneth Hall Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East Saint Louis, IL 62201 Phone: 618-482-7044 Fax: 618-482-7018 |