Stacy A Piller
MENDOTA COMMUNITY HOSPITAL


Address: 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012
Phone: 8155387200

Stacy A Piller (NPI# 1508319914, PAC ID# 8527355783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1508319914
PAC ID by PECOS 8527355783
Professional Enrollment ID I20161003001309
Full Name Stacy A Piller
Organization Legal Name MENDOTA COMMUNITY HOSPITAL
Address 1405 E 12th St
600 Physician Services of Mch
Mendota
IL 61342-9012
Phone Number 8155387200
Gender F
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2264335777
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
141310 OSF SAINT PAUL MEDICAL CENTER
140110 OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR

Other Locations

Address Phone Organization
1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012 8155387200 MENDOTA COMMUNITY HOSPITAL

Organization Information

Organization Legal Name MENDOTA COMMUNITY HOSPITAL
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Katherine R Riva Foster Certified Registered Nurse Anesthetist (crna) Mendota Community Hospital 1401 E 12th St, Mendota, IL 61342-9216
Mary M Chinn Family Medicine Mendota Community Hospital 1404 Washington St, Mendota, IL 61342-1471
Kenneth K Potts Certified Registered Nurse Anesthetist (crna) Mendota Community Hospital 1401 E 12th St, Mendota, IL 61342-9216
Amy M Matheis Soliman Family Medicine Mendota Community Hospital 1401 E 12th St, Mendota, IL 61342-9216
Leonardo Lopez Family Medicine Mendota Community Hospital 1401 E 12th St, Mendota, IL 61342-9216
David A Scholl Family Medicine Mendota Community Hospital 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012
Zachary J Fulton Family Medicine Mendota Community Hospital 1404 Washington St, Mendota, IL 61342-1471

Office Location

Street Address 1405 E 12TH ST
600 PHYSICIAN SERVICES OF MCH
City MENDOTA
State IL
Zip 61342-9012

Physicians in the same location

Name Specialty Organization Address
Eric Alfred Kivisto General Surgery Osf Multi-specialty Group 1405 E 12th St, Mendota, IL 61342-9010
David A Scholl Family Medicine Mendota Community Hospital 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012

Physicians in the same zip code

Name Specialty Organization Address
Linnea L Person Chiropractic 1301 14th Ave, Mendota, IL 61342-1001
Cynthia A Becker Chiropractic 1403 E Main St, Mendota, IL 61342-1077
Donald W Piller Chiropractic 1312 Lakewood Dr, Mendota, IL 61342-1096
Tara N Vandewyngaerde Optometry 700 14th Ave, Mendota, IL 61342-1412
Mary M Chinn Family Medicine Mendota Community Hospital 1404 Washington St, Mendota, IL 61342-1471
Zachary J Fulton Family Medicine Mendota Community Hospital 1404 Washington St, Mendota, IL 61342-1471
Joy R Preciado Nurse Practitioner Community Health Partnership of Illinois 1009 Main St, Mendota, IL 61342-1604
Rebecca J Amble Clinical Social Worker Illinois Valley Counseling Services 901 Main St, Suite A, Mendota, IL 61342-1682
Dawn H Mccollom Clinical Social Worker Illinois Valley Counseling Services 901 Main St, Suite A, Mendota, IL 61342-1682
Mary A Liddle Clinical Social Worker Illinois Valley Counseling Services 901 Main St, Mendota, IL 61342-1682
Find all physicians in zip 61342

Competitor

Search similar physicians

City MENDOTA
Zip Code 61342
Specialty NURSE PRACTITIONER
City + Specialty MENDOTA + NURSE PRACTITIONER

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Dataset Information

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.

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