Carol Kroll Hurley (NPI# 1417974957, PAC ID# 7810989928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1417974957 |
| PAC ID by PECOS | 7810989928 |
| Professional Enrollment ID | I20040331000130 |
| Full Name | Carol Kroll Hurley |
| Organization Legal Name | MARYVILLE MEDICAL SERVICES LLC |
| Address |
2504 Commerce Highland IL 62249-0017 |
| Phone Number | 6186519777 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1967 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY PRACTICE |
| Group Practice PAC ID | 7315920386 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2504 Commerce, Highland, IL 62249-0017 | 6186519777 | MARYVILLE MEDICAL SERVICES LLC |
| Organization Legal Name | MARYVILLE MEDICAL SERVICES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Dawdy | Family Practice | Maryville Medical Services LLC | 6810 State Route 162 205, Maryville, IL 62062-8501 |
| Lewis F Fischer | Family Practice | Maryville Medical Services LLC | 6810 State Route 162 215, Maryville, IL 62062-8501 |
| Street Address |
2504 COMMERCE |
| City | HIGHLAND |
| State | IL |
| Zip | 62249-0017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Stacy L Schreiber | 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 | EMERGENCY MEDICINE |
| City + Specialty | HIGHLAND + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Carol Kroll Hurley.
| 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.