Ellie Marie Bentley
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP


Address: 220 S Park Ave, Suite 3, Herrin, IL 62948-3612
Phone: 618942200235767

Ellie Marie Bentley (NPI# 1093157315, PAC ID# 4587993019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1093157315
PAC ID by PECOS 4587993019
Professional Enrollment ID I20190910000114
Full Name Ellie Marie Bentley
Organization Legal Name SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Address 220 S Park Ave
Suite 3
Herrin
IL 62948-3612
Phone Number 618942200235767
Gender F
Medical School LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2013
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 3678677390
Number of Group Practice Members 325
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140011 SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL
140164 MEMORIAL HOSPITAL OF CARBONDALE

Other Locations

Address Phone Organization
220 S Park Ave, Suite 3, Herrin, IL 62948-3612 618942200235767 SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

Organization Information

Organization Legal Name SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Physicians 338

Physicians with the same organization

Name Specialty Organization Address
Victor Cepeda Infectious Disease Southern Illinois Medical Services, Nfp 3314 Patriot Ct, Herrin, IL 62948-3782
Arsalan Salamat General Surgery Southern Illinois Medical Services, Nfp 1237 E Main St, C1, Carbondale, IL 62901-3148
Motaz R Wraikat Undersea and Hyperbaric Medicine Southern Illinois Medical Services, Nfp 315 S 14th St, Suite 3, Herrin, IL 62948-3601
Mohammed Lawan Gana Guba Hospitalist Southern Illinois Medical Services, Nfp 201 S 14th St, Herrin, IL 62948-3631
Kowsika Movva Family Medicine Southern Illinois Medical Services, Nfp 207 W Jackson St, Suite 102, Carbondale, IL 62901-1408
Hammad Shafqat Hematology/oncology Southern Illinois Medical Services, Nfp 1400 Pin Oak Dr, Carterville, IL 62918-1600
Whitney Celeste Mcguire Nurse Practitioner Southern Illinois Medical Services, Nfp 405 Rushing Dr, Herrin, IL 62948-3730
Jason Liang Podiatry Southern Illinois Medical Services, Nfp 19 E Shawnee Dr, Suite 2, Murphysboro, IL 62966-7072
Saad Ajmal General Surgery Southern Illinois Medical Services, Nfp 317 S 14th St, Suite 1, Herrin, IL 62948-3673
Amy Nichole Dinga Nurse Practitioner Southern Illinois Medical Services, Nfp 1400 Financial Park Dr, Carbondale, IL 62901

Office Location

Street Address 220 S PARK AVE
SUITE 3
City HERRIN
State IL
Zip 62948-3612

Physicians in the same location

Name Specialty Organization Address
Nikita Chevalier Urology Southern Illinois Medical Services, Nfp 220 S Park Ave, Suite 2, Herrin, IL 62948-3612
Benjamin P Roose General Surgery Southern Illinois Medical Services, Nfp 220 S Park Ave, Suite 3, Herrin, IL 62948-3612
Brett Michael Dempsey General Surgery Southern Illinois Medical Services, Nfp 220 S Park Ave, Suite 3, Herrin, IL 62948-3612
Aimee Michelle Belt Nurse Practitioner Southern Illinois Medical Services, Nfp 220 S Park Ave, Suite 2, Herrin, IL 62948-3612

Physicians in the same zip code

Name Specialty Organization Address
Trevor Crabtree Optometry Paul C Jacobs Trevor Crabtree Ptr 223 N Park Ave, Herrin, IL 62948-3149
Gerri Dyer Nurse Practitioner Southern Illinois Dermatology, PC 220 N Park Ave, Suite 2, Herrin, IL 62948-3150
Kelly D Chullen Chiropractic 120 E Herrin St, Total Health Chiropractic, Herrin, IL 62948-3163
Nova M Griffith Psychologist, Clinical 121 N 13th St, Suite 2, Herrin, IL 62948-3255
Motaz R Wraikat Undersea and Hyperbaric Medicine Southern Illinois Medical Services, Nfp 315 S 14th St, Suite 3, Herrin, IL 62948-3601
Sahitya Settypalli Undersea and Hyperbaric Medicine Southern Illinois Medical Services, Nfp 315 S 14th St, Suite 3, Herrin, IL 62948-3601
William Fix Optometry Marion Eye Centers Ltd 321 S Park Ave, Herrin, IL 62948-3603
Mohammed Lawan Gana Guba Hospitalist Southern Illinois Medical Services, Nfp 201 S 14th St, Herrin, IL 62948-3631
Siena Elisa Nadal Ona Physical Medicine and Rehabilitation Medical Services Ric 201 S 14th St, Herrin, IL 62948-3631
Gerald W Mcclallen Emergency Medicine Southern Illinois Medical Services, Nfp 201 S 14th St, Herrin, IL 62948-3631
Find all physicians in zip 62948

Competitor

Search similar physicians

City HERRIN
Zip Code 62948
Specialty GENERAL SURGERY
City + Specialty HERRIN + GENERAL SURGERY

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Dataset Information

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.

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