Loralee Donnelly (NPI# 1174075147, PAC ID# 7012298482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174075147 |
| PAC ID by PECOS | 7012298482 |
| Professional Enrollment ID | I20161222000676 |
| Full Name | Loralee Donnelly |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Address |
1770 E Lake Shore Dr Suite 307 Decatur IL 62521-3822 |
| Phone Number | 2174645460 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365352820 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 140053 | ST JOHNS HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1770 E Lake Shore Dr, Suite 307, Decatur, IL 62521-3822 | 2174645460 | SIU PHYSICIANS AND SURGEONS INC |
| 301 N 8th St, Springfield, IL 62701-1041 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Physicians | 259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Clouser | Nurse Practitioner | Siu Physicians and Surgeons Inc | 315 W Carpenter St, Springfield, IL 62702-4901 |
| Kristina Epplin Sondgeroth | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 400 N 9th St, 3rd Floor Clinic B, Springfield, IL 62702-5310 |
| Evans M Mutua | Nurse Practitioner | Siu Physicians and Surgeons Inc | 720 N Bond St, Springfield, IL 62702-4952 |
| Lori A Bland | Nurse Practitioner | Siu Physicians and Surgeons Inc | 102 W Kenwood Ave, Lowr Level, Decatur, IL 62526-4368 |
| Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Basar Cenik | Psychiatry | Siu Physicians and Surgeons Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Momin Saulat Siddique | Cardiovascular Disease (cardiology) | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Kaylie A Caswell | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1100 E Lincolnshire Blvd, Suite 200, Springfield, IL 62703-5950 |
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Street Address |
1770 E LAKE SHORE DR SUITE 307 |
| City | DECATUR |
| State | IL |
| Zip | 62521-3822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad H Ahmad | Internal Medicine | 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521-3884 | |
| Sherry A Reid | Neurology | Hshs Medical Group Inc | 1770 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3842 |
| Pamela R Gremmels | Clinical Social Worker | Rohidas T Patil Md Sc | 1770 E Lake Shore Dr, Suite 209, Decatur, IL 62521-3823 |
| Danxuan Long | Internal Medicine | Hshs Medical Group Inc | 1770 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3842 |
| Adel Samy Raheb | Obstetrics/gynecology | Lake Shore Ob Gyn of Decatur Sc | 1770 E Lake Shore Dr, Suite 303, Decatur, IL 62521-3836 |
| Thomas K Stewart | Clinical Social Worker | Rohidas T Patil Md Sc | 1770 E Lake Shore Dr, Suite 209, Decatur, IL 62521-3823 |
| Kristy Dawn Shafer | Nurse Practitioner | Hshs Medical Group Inc | 1770 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3842 |
| Carmeka D Honorable | Nurse Practitioner | Hshs Medical Group Inc | 1770 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3842 |
| Khondker Islam | Gastroenterology | Hshs Medical Group Inc | 1770 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3842 |
| Maung M Tin | Ophthalmology | 1770 E Lake Shore Dr, Suite 206, Decatur, IL 62521-3832 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Miller | Nurse Practitioner | Decatur Memorial Hospital | 4455 Us Route 36 E, Decatur, IL 62521 |
| Dana M Ray | Family Medicine | Community Health Improvement Center | 1221 E Condit St, Decatur, IL 62521-1405 |
| Charles Bedford Jr. | Optometry | 1270 S Jasper St, Decatur, IL 62521-3531 | |
| Michael J Karasis | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Nicholas Nasry Tadros | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite Ll2, Decatur, IL 62521-3803 |
| Bradley Fields Schwartz | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Naeemuddin Jatoi | Internal Medicine | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3803 |
| Carrie Ann West | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Bavikatte Shivakumar | Gastroenterology | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 |
| Virginia Ann Kerwin | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Find all physicians in zip 62521 | |||
| City | DECATUR |
| Zip Code | 62521 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECATUR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Loralee Donnelly.
| 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.