Darlene S Lutchka (NPI# 1760429146, PAC ID# 5092749952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760429146 |
| PAC ID by PECOS | 5092749952 |
| Professional Enrollment ID | I20050921000342 |
| Full Name | Darlene S Lutchka |
| Organization Legal Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Address |
400 S Lewis Ln Carbondale IL 62901-3547 |
| Phone Number | 6185199900 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658285671 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 S Lewis Ln, Carbondale, IL 62901-3547 | 6185199900 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| 404 S Lewis Ln, Carbondale, IL 62901-3547 | 6185199200 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| 1006 S Division St, Carterville, IL 62918-1539 | 6189854841 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Organization Legal Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Walker | Certified Nurse Midwife | Shawnee Health Service and Development Corp | 3303 Logan Dr, Herrin, IL 62948-3732 |
| Tiffany Todd | Clinical Social Worker | Shawnee Health Service and Development Corp | 101 S Wall St, Carbondale, IL 62901-3021 |
| Douglas C Brown | Family Medicine | Shawnee Health Service and Development Corp | 1506 Sioux Dr, Marion, IL 62959-5209 |
| Kelly C Higgins | Internal Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Jeffery W Ripperda | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Jocelyn Leon Peters | Obstetrics/gynecology | Shawnee Health Service and Development Corp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Ana Risse | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Aaron Newcomb | Family Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Barbara G Grear | Clinical Social Worker | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Street Address |
400 S LEWIS LN |
| City | CARBONDALE |
| State | IL |
| Zip | 62901-3547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly C Higgins | Internal Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Aaron Newcomb | Family Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Barbara G Grear | Clinical Social Worker | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Tasmeer Hassan | Family Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Anna M Little | Internal Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Nichole Dinga | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Carlos Mario Rivera Serrano | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Kelli Nicole Webb | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Fakhre Alam | Neurology | 2731 W Main St, Suite A, Carbondale, IL 62901-1028 | |
| Muhammad J Popalzai | Hematology/oncology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Melissa Andrea Martinez Mateo | Gastroenterology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Lukas John Ward | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Emily D Hanson | Family Medicine | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Phillip A Dewey | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Jessie Nicole Fox | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Find all physicians in zip 62901 | |||
| City | CARBONDALE |
| Zip Code | 62901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARBONDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Darlene S Lutchka.
| 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.