Jon Paul Champine (NPI# 1982698833, PAC ID# 2860452182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1982698833 |
| PAC ID by PECOS | 2860452182 |
| Professional Enrollment ID | I20041012000887 |
| Full Name | Jon Paul Champine |
| Address |
503 Park Dr Suite 6 Kenilworth IL 60043-1094 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 503 Park Dr, Suite 6, Kenilworth, IL 60043-1094 |
| Street Address |
503 PARK DR SUITE 6 |
| City | KENILWORTH |
| State | IL |
| Zip | 60043-1094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey C Fenner | Plastic and Reconstructive Surgery | 512 Green Bay Rd, Kenilworth, IL 60043-1073 | |
| Rebecca E Lucas | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Katharine M Albright | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Edward Refundo | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Kathleen Chrysta Piazzi | Occupational Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Joby John | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Julie Manner | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Caitlin A Murray | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Brad E Powell | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Dylan F Mohler | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 554 Green Bay Rd, Kenilworth, IL 60043-1086 |
| Find all physicians in zip 60043 | |||
| City | KENILWORTH |
| Zip Code | 60043 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | KENILWORTH + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jon Paul Champine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.