Jane Grace Md Manalo (NPI# 1407813470, PAC ID# 6608916010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1407813470 |
| PAC ID by PECOS | 6608916010 |
| Professional Enrollment ID | I20100716000369 |
| Full Name | Jane Grace Md Manalo |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Address |
12860 Troxler Ave Suite 350 Highland IL 62249-2898 |
| Phone Number | 6186512888 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 5991619116 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 140145 | ST JOSEPHS HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| 140046 | GOOD SAMARITAN REGIONAL HLTH CENTER |
| 141345 | SALEM TOWNSHIP HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1050 M L King Dr, Centralia, IL 62801-3060 | 6185450133 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 | 6185450133 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 12860 Troxler Ave, Suite 350, Highland, IL 62249-2898 | 6186512888 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 12860 Troxler Ave, Highland, IL 62249-2898 | 6186512888 | 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 |
|---|---|---|---|
| Jennifer Nicole Born | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| 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 |
| Street Address |
12860 TROXLER AVE SUITE 350 |
| City | HIGHLAND |
| State | IL |
| Zip | 62249-2898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Klostermann | Family Medicine | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Jacqueline Ann Bode | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Janet L Alvarado | Internal Medicine | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Jessica R Freeman | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Susan L Collman | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Lauren C Lawson | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Mallory A Rinderer | Nurse Practitioner | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Kyla Adriana Dewar | Internal Medicine | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Jose A Diaz Jr. | General Surgery | Hshs Medical Group Inc | 12860 Troxler Ave, Highland, IL 62249-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Kroll Hurley | Emergency Medicine | Maryville Medical Services LLC | 2504 Commerce, Highland, IL 62249-0017 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Mark Lacich | Chiropractic | 206 Walnut St, Highland, IL 62249-1224 | |
| John W Kleinhoffer | Optometry | 1312 Mercantile Dr, Highland, IL 62249-1240 | |
| Nancy J Taylor | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Breck D Kramper | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Pamella S Gronemeyer | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
| Aiman H Hawasli | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
| Nathan Scandrett | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
| Laura Michelle Halpin | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
| Find all physicians in zip 62249 | |||
| City | HIGHLAND |
| Zip Code | 62249 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | HIGHLAND + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Jane Grace Md Manalo.
| 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.