Angela K Conklin (NPI# 1508050683, PAC ID# 6709973407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508050683 |
| PAC ID by PECOS | 6709973407 |
| Professional Enrollment ID | I20071026000713 |
| Full Name | Angela K Conklin |
| Organization Legal Name | FREEPORT REGIONAL HEALTH CARE FOUNDATION |
| Address |
1120 Healthcare Dr Mount Carroll IL 61053-1461 |
| Phone Number | 8152444181 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234041682 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140160 | FHN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1120 Healthcare Dr, Mount Carroll, IL 61053-1461 | 8152444181 | FREEPORT REGIONAL HEALTH CARE FOUNDATION |
| Organization Legal Name | FREEPORT REGIONAL HEALTH CARE FOUNDATION |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla J Bagge | Nurse Practitioner | Freeport Regional Health Care Foundation | 2107 Chicago Ave, Savanna, IL 61074-1716 |
| Danielle E Siedschlag | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Mary J Harker | Nurse Practitioner | Freeport Regional Health Care Foundation | 555 W S St, Freeport, IL 61032-6792 |
| Stephanie K Snider | Physical Therapy | Freeport Regional Health Care Foundation | 1763 S Dirck Dr, Freeport, IL 61032-6707 |
| April L Moore | Family Medicine | Freeport Regional Health Care Foundation | 803 S 1st Ave, Fhn Family Healthcare Center, Forreston, IL 61030-9575 |
| Robert Geller | Infectious Disease | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Tracy L Dysard | Nurse Practitioner | Freeport Regional Health Care Foundation | 3001 Highland View Dr, Freeport, IL 61032-6942 |
| Renu Dosi | Internal Medicine | Freeport Regional Health Care Foundation | 1010 Fairway Dr, Freeport, IL 61032-9998 |
| Shannon K Lizer | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Eugene M Gaertner | Internal Medicine | Freeport Regional Health Care Foundation | 1036 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4865 |
| Street Address |
1120 HEALTHCARE DR |
| City | MOUNT CARROLL |
| State | IL |
| Zip | 61053-1461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher G Dinning | Chiropractic | 704 S E St, Mount Carroll, IL 61053-1460 | |
| Connie K Davis | Clinical Social Worker | Sinnissippi Centers Inc | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 |
| Alisa Wolf | Clinical Social Worker | Sinnissippi Centers Inc | 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 |
| City | MOUNT CARROLL |
| Zip Code | 61053 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNT CARROLL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela K Conklin.
| 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.