Joseph M Corvallis (NPI# 1477506426, PAC ID# 4486547114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1477506426 |
PAC ID by PECOS | 4486547114 |
Professional Enrollment ID | I20040205000703 |
Full Name | Joseph M Corvallis |
Address |
101 Saint Louis Rd Collinsville IL 62234-2450 |
Phone Number | 6183461144 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140289 | ANDERSON HOSPITAL |
140187 | HSHS ST ELIZABETH'S HOSPITAL |
140185 | MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
101 Saint Louis Rd, Collinsville, IL 62234-2450 | 6183461144 |
Street Address |
101 SAINT LOUIS RD |
City | COLLINSVILLE |
State | IL |
Zip | 62234-2450 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard Saia | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1071 -1073 Collinsville Crsng Blvd, Collinsville, IL 62234-1883 |
Samuel Arcipowski | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1071 -1073 Collinsville Crsng Blvd, Collinsville, IL 62234-1883 |
Madilyn Marie Lewis | Chiropractic | 226 S Morrison Ave, Collinsville, IL 62234-2711 | |
Raj M Sajid | Family Medicine | 415 W Main St, Suite 3, Collinsville, IL 62234-3043 | |
Mark A Havera | Optometry | Havera Eye Care Specialists LLC | 119 N Morrison Ave, Collinsville, IL 62234-3226 |
Jeffrey P Herberts | Optometry | 119 N Morrison Ave, Collinsville, IL 62234-3226 | |
Amber M Pendegraft | Nurse Practitioner | Midwest Post Acute Care LLC | 614 N Summit Ave, Collinsville, IL 62234-3728 |
William Nathaniel Byrkit | Chiropractic | 1280 Vandalia St, Collinsville, IL 62234-4024 | |
Susan K Reynolds | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1215 Vandalia St, Collinsville, IL 62234-4060 |
Patrick S Zimmermann | Family Medicine | 531 Vandalia St, Suite 201, Collinsville, IL 62234-4061 | |
Find all physicians in zip 62234 |
City | COLLINSVILLE |
Zip Code | 62234 |
Specialty | FAMILY MEDICINE |
City + Specialty | COLLINSVILLE + FAMILY MEDICINE |
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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.