Mark Montefolka (NPI# 1114026754, PAC ID# 7214905728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114026754 |
| PAC ID by PECOS | 7214905728 |
| Professional Enrollment ID | I20040922000841 |
| Full Name | Mark Montefolka |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
2535 E Washington St East Peoria IL 61611-1863 |
| Phone Number | 3096946464 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2535 E Washington St, East Peoria, IL 61611-1863 | 3096946464 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
2535 E WASHINGTON ST |
| City | EAST PEORIA |
| State | IL |
| Zip | 61611-1863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Miguel Avila | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Prem L Bhatia | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| Ziad A Musaitif | Family Practice | Belcrest Services Ltd | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Cheryl L Wegman | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin Brown | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 123 W Spring Creek Rd, East Peoria, IL 61611-1346 |
| Catherine J Kilbourn | Clinical Social Worker | 2500 N Main St, Suite 2b, East Peoria, IL 61611-1780 | |
| Nancy S Egger | Clinical Social Worker | 2500 N Main St, Suite 2b, East Peoria, IL 61611-1780 | |
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| James W Farn | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Merle A Piacenti | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Tyler M Flessner | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Stephen W Goth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Mary E Mccrate | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Steven P Lukancic | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Find all physicians in zip 61611 | |||
| City | EAST PEORIA |
| Zip Code | 61611 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAST PEORIA + FAMILY MEDICINE |
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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.