Jennifer Nicole Born (NPI# 1538636642, PAC ID# 5799029856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538636642 |
| PAC ID by PECOS | 5799029856 |
| Professional Enrollment ID | I20181130001956 |
| Full Name | Jennifer Nicole Born |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Address |
905 Medical Park Dr Effingham IL 62401-2190 |
| Phone Number | 2173422066 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991619116 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140135 | DECATUR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 | 2178779442 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 905 Medical Park Dr, Effingham, IL 62401-2190 | 2173422066 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole S Soper | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Sebastien Simon Kairouz | Medical Oncology | Cancer Care Specialists of Central Illinois, S.c. | 1990 E Lakeshore Dr, Decatur, IL 62521-3811 |
| Thomas Howard Tarter | Urology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Benjamin T Esparaz | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Mark Andrew Walshauser | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Mario R Velasco Jr. | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Kristi Marie Toennies | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 |
| Casey Ellis Duncan | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Gibran Hamid Mahmud | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 |
| Harold Abraham Yoon | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Street Address |
905 MEDICAL PARK DR |
| City | EFFINGHAM |
| State | IL |
| Zip | 62401-2190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold Abraham Yoon | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Philip A Dy | Medical Oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Hanna Saba | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Bassam Nabih Maalouf | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Edward C Elliott | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Rhodes | Chiropractic | 200 E Fayette Ave, Effingham, IL 62401-0022 | |
| Lenora M Drees | Nurse Practitioner | Family Care Associates of Effingham, S.c. | 1106 N Merchant St Po Box, Suite 665, Effingham, IL 62401-0665 |
| P Dharmadev D Nayak | Urology | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Angela D Yocom | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Alicia J Davis | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Karl S. Rudert | Emergency Medicine | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 |
| Christopher P Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Anthony R Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Frank S Lee | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Joseph M Ajdinovich | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Find all physicians in zip 62401 | |||
| City | EFFINGHAM |
| Zip Code | 62401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EFFINGHAM + NURSE PRACTITIONER |
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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.