Elbert C Lee (NPI# 1740243989, PAC ID# 2860585858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1740243989 |
PAC ID by PECOS | 2860585858 |
Professional Enrollment ID | I20070907000105 |
Full Name | Elbert C Lee |
Organization Legal Name | CENTERSTONE OF ILLINOIS INC |
Address |
2311 S Illinois Ave Carbondale IL 62903-5912 |
Phone Number | 6184576703 |
Gender | M |
Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
Graduation Year | 1987 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 2961545173 |
Number of Group Practice Members | 25 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2311 S Illinois Ave, Carbondale, IL 62903-5912 | 6184576703 | CENTERSTONE OF ILLINOIS INC |
Organization Legal Name | CENTERSTONE OF ILLINOIS INC |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Mary L Nash-pyott | Clinical Social Worker | Centerstone of Illinois Inc | 3111 Williamson County Pkwy, Marion, IL 62959-5235 |
Mirza S Baig | Psychiatry | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
Brittany Vaughn | Clinical Social Worker | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Arif Habib | Psychiatry | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
Katherine L Bishop | Psychologist, Clinical | Centerstone of Illinois Inc | 3111 Williamson County Pkwy, Marion, IL 62959-5235 |
Sherry Gibbens | Clinical Social Worker | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Paul E Carter | Psychiatry | Centerstone of Illinois Inc | 902 W Main St, West Frankfort, IL 62896-2210 |
Street Address |
2311 S ILLINOIS AVE |
City | CARBONDALE |
State | IL |
Zip | 62903-5912 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elsie Farough | Clinical Social Worker | Centerstone of Illinois Inc | 2311 S Illinois Ave, Carbondale, IL 62903-5912 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Reimbold | Qualified Audiologist | 1717 W Main St, Po Box 1058, Carbondale, IL 62903-1058 | |
Matthew E Denis | Psychologist, Clinical | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | |
Jeffrey S Kellogg | Psychologist, Clinical | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | |
Donald A Doty | Psychologist, Clinical | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | |
Elana R Floyd- Kennett | Clinical Social Worker | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | |
Michael E Althoff | Clinical Psychologist | 3412 S Illinois Ave, Carbondale, IL 62903-8362 |
City | CARBONDALE |
Zip Code | 62903 |
Specialty | PSYCHIATRY |
City + Specialty | CARBONDALE + PSYCHIATRY |
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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.