Taylor Tennill (NPI# 1801202833, PAC ID# 6204133705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1801202833 |
| PAC ID by PECOS | 6204133705 |
| Professional Enrollment ID | I20180802000841 |
| Full Name | Taylor Tennill |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Address |
1025 S 6th St Springfield IL 62703-2403 |
| Phone Number | 2175287541 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0547166076 |
| Number of Group Practice Members | 538 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1025 S 6th St, Springfield, IL 62703-2403 | 2175287541 | SPRINGFIELD CLINIC LLP |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Physicians | 568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Akers | Nurse Practitioner | Springfield Clinic LLP | 505 E Grant St, Suite 110, Macomb, IL 61455-3394 |
| Kelsey K. Kniepmann | Registered Dietitian Or Nutrition Professional | Springfield Clinic LLP | 350 W Carpenter St, Springfield, IL 62702-4902 |
| Jessica M Sestak | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Elijah Kim | General Surgery | Springfield Clinic LLP | 301 N 8th St 6th Flr, St John Pavilion, Springfield, IL 62701-1041 |
| Rajesh Banderudrappagari | Hematology/oncology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Jared Bernard | Critical Care (intensivists) | Springfield Clinic LLP | 301 N 8th St 3rd Flr Rm, Suite 134, Springfield, IL 62701-1041 |
| Rabia Asghar | Endocrinology | Springfield Clinic LLP | 20613 N Broad St, Carlinville, IL 62626-3720 |
| Tonya L. Heim | Nurse Practitioner | Springfield Clinic LLP | 901 S Koke Mill Rd, Springfield, IL 62711-8012 |
| Amanda L. House | Nurse Practitioner | Springfield Clinic LLP | 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 |
| Brenda S Reiling | Physical Therapy | Springfield Clinic LLP | 100 Marion Pkwy, Suite 149, Sherman, IL 62684-9673 |
| Street Address |
1025 S 6TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62703-2403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas N Rooke | Anesthesiology | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Christy D Smith | Nurse Practitioner | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Ronald Hidalgo | Diagnostic Radiology | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Susan S Stegeman | Ophthalmology | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Dmitry Shuster | Gastroenterology | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Diane H Aw | Internal Medicine | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Tara L Crews | Certified Registered Nurse Anesthetist (crna) | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Marilyn S Robins | Nurse Practitioner | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Jaela N. Flowers | Nurse Practitioner | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Pramila R Venigalla | Internal Medicine | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Jahns | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Laci Watson | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Ashlyn S Bartels | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Hwa Long Chen | General Practice | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Mastan Rao Indlamuri | Family Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Jennifer Leeann Toon Porter | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Brittani M. Cunningham | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Audrey Thursby | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Gerardo Francisco Gomez Abundis | Internal Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Ashley Nicole Dunmire | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Find all physicians in zip 62703 | |||
| City | SPRINGFIELD |
| Zip Code | 62703 |
| Specialty | DERMATOLOGY |
| City + Specialty | SPRINGFIELD + DERMATOLOGY |
Please comment or provide details below to improve the information on Taylor Tennill.
| 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.