Jessica J Mullen (NPI# 1477828713, PAC ID# 3476716267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1477828713 |
| PAC ID by PECOS | 3476716267 |
| Professional Enrollment ID | I20120514000728 |
| Full Name | Jessica J Mullen |
| Organization Legal Name | INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL |
| Address |
310 E Torrance Ave Pontiac IL 61764-2748 |
| Phone Number | 8158446109 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7810066511 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 310 E Torrance Ave, Pontiac, IL 61764-2748 | 8158446109 | INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL |
| Organization Legal Name | INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri M Bowald | Nurse Practitioner | Institute for Human Resources of Livingston County, Il | 310 E Torrance Ave, Pontiac, IL 61764-2748 |
| Carrie L Hamilton | Clinical Social Worker | Institute for Human Resources of Livingston County, Il | 310 E Torrance Ave, Pontiac, IL 61764-2748 |
| Street Address |
310 E TORRANCE AVE |
| City | PONTIAC |
| State | IL |
| Zip | 61764-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Rinker | Internal Medicine | 310 E Torrance Ave, Po Box 650, Pontiac, IL 61764-2748 | |
| Sherri M Bowald | Nurse Practitioner | Institute for Human Resources of Livingston County, Il | 310 E Torrance Ave, Pontiac, IL 61764-2748 |
| Carrie L Hamilton | Clinical Social Worker | Institute for Human Resources of Livingston County, Il | 310 E Torrance Ave, Pontiac, IL 61764-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bachman | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 924 W Custer Ave, Pontiac, IL 61764-1067 |
| Jordan Collins | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 924 W Custer Ave, Pontiac, IL 61764-1067 |
| Sasha Radford | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Bryan Stoller | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Janelle Joyce Brown | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Marcus S Deranian | Ophthalmology | Center for Sight of Central Illinois Sc | 608 W Ladd, Pontiac, IL 61764-1617 |
| Douglas R Watson | Optometry | 301 W Madison St, Pontiac, IL 61764-1705 | |
| Cheryle Diana Strother | Nurse Practitioner | 402 N Plum, Pontiac, IL 61764-1817 | |
| Kimberly K Kidner | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Ashley N Fauser | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Find all physicians in zip 61764 | |||
| City | PONTIAC |
| Zip Code | 61764 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PONTIAC + CLINICAL SOCIAL WORKER |
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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.