Ted G Van Acker (NPI# 1720025562, PAC ID# 5092702530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1720025562 |
| PAC ID by PECOS | 5092702530 |
| Professional Enrollment ID | I20040805000080 |
| Full Name | Ted G Van Acker |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Address |
325 Spring St Red Bud IL 62278-1105 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2769479203 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141346 | FAYETTE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 525 N Main St, Anna, IL 62906-1622 | 6186141307 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 111 W Main St, Du Quoin, IL 62832-1614 | 6185422426 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 300 Small St, Suite 1, Harrisburg, IL 62946-3325 | 6182528535 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 | 6189423344 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 1401 Walnut St, Murphysboro, IL 62966-2029 | 6185651212 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 325 Spring St, Red Bud, IL 62278-1105 | SOUTHERN ILLINOIS DERMATOLOGY, PC | |
| 100 W Main St, Salem, IL 62881-1500 | 6185483473 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 108 N Emma St, West Frankfort, IL 62896-2443 | 6189371346 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Natyshok | Physician Assistant | Southern Illinois Dermatology, PC | 108 N Emma St, West Frankfort, IL 62896-2443 |
| Gerri Dyer | Nurse Practitioner | Southern Illinois Dermatology, PC | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
| Christine R Watson | Physician Assistant | Southern Illinois Dermatology, PC | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Alexis E Lorinskas | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Melody Hof | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Derek G Kenneaster | Dermatology | Southern Illinois Dermatology, PC | 108 N Emma St, West Frankfort, IL 62896-2443 |
| Misty D Hammond | Nurse Practitioner | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Shanda C Swagler | Nurse Practitioner | Southern Illinois Dermatology, PC | 100 W Main St, Salem, IL 62881-1500 |
| Natalie D Spiller | Physician Assistant | Southern Illinois Dermatology, PC | 325 Spring St, Red Bud, IL 62278-1105 |
| Street Address |
325 SPRING ST |
| City | RED BUD |
| State | IL |
| Zip | 62278-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Harriman | Physician Assistant | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Zia M Ahmad | Cardiovascular Disease (cardiology) | Bi-state Cardiovascular Consultant PC | 325 Spring St, Suite 2, Red Bud, IL 62278-1105 |
| John M Crowe | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Meher S Mallick | Nephrology | St Louis Nephrology Associates LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Rosanne L Sutter | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Victor P Hidalgo | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Amy L Rohlfing | Geriatric Medicine | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Julie L Kelley | Emergency Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Tracy M Hasler | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Alex R Labounty | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Dewilde | Chiropractic | 930 W Market St, Suite 1, Red Bud, IL 62278-1006 | |
| Quentin T Stenzel | Chiropractic | 204 W Market St, Red Bud, IL 62278-1029 | |
| Zaki H Chowdhury | Emergency Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Armida A Hidalgo | Family Medicine | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Jessica L Sheehan | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Mallory A Butler | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Margret De Guzman | General Surgery | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Mary O Wunderlich | Physician Assistant | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Danielle A Turner | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Ziya Baghmanli | General Surgery | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Find all physicians in zip 62278 | |||
| City | RED BUD |
| Zip Code | 62278 |
| Specialty | DERMATOLOGY |
| City + Specialty | RED BUD + DERMATOLOGY |
Please comment or provide details below to improve the information on Ted G Van Acker.
| 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.