Polly A Lilleboe
SPARROW CLINTON HOSPITAL


Address: 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253
Phone: 9892273400

Polly A Lilleboe (NPI# 1225182454, PAC ID# 9931179595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1225182454
PAC ID by PECOS 9931179595
Professional Enrollment ID I20040729001375
Full Name Polly A Lilleboe
Organization Legal Name SPARROW CLINTON HOSPITAL
Address 805 S Oakland St
Clinton Erd
St Johns
MI 48879-2253
Phone Number 9892273400
Gender F
Credential MD
Medical School UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 5395658850
Number of Group Practice Members 33
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
231326 SPARROW CLINTON HOSPITAL
231324 EATON RAPIDS MEDICAL CENTER
230230 EDWARD W SPARROW HOSPITAL
231327 HAYES GREEN BEACH MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253 9892273400 SPARROW CLINTON HOSPITAL

Organization Information

Organization Legal Name SPARROW CLINTON HOSPITAL
Physicians 19

Physicians with the same organization

Name Specialty Organization Address
Shawn Cuyler Dowling General Surgery Sparrow Clinton Hospital 901 S Oakland St, St Johns, MI 48879-2200
Jodie Elizabeth Emerson Certified Registered Nurse Anesthetist (crna) Sparrow Clinton Hospital 805 S Oakland St, St Johns, MI 48879-2253
Gregory A Holzhei Family Medicine Sparrow Clinton Hospital 901 S Oakland St, St Johns, MI 48879-2200
Mark Weismiller General Surgery Sparrow Clinton Hospital 901 S Oakland St, St Johns, MI 48879-2200
Kelli L Isralson Brown Nurse Practitioner Sparrow Clinton Hospital 901 S Oakland St, St Johns, MI 48879-2200
Jane S Sbalchiero Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253
Katie L Ryan Family Medicine Sparrow Clinton Hospital 901 S Oakland St, St Johns, MI 48879-2200
Ihsan Djomehri Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253
Kay L Mclaughlin Internal Medicine Sparrow Clinton Hospital 901 S Oakland St, St Johns, MI 48879-2200
Kimberlee Chesney Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253

Office Location

Street Address 805 S OAKLAND ST
CLINTON ERD
City ST JOHNS
State MI
Zip 48879-2253

Physicians in the same location

Name Specialty Organization Address
Jodie Elizabeth Emerson Certified Registered Nurse Anesthetist (crna) Sparrow Clinton Hospital 805 S Oakland St, St Johns, MI 48879-2253
Jane S Sbalchiero Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253
Ihsan Djomehri Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253
Kimberlee Chesney Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253
Michael A Okkerse Certified Registered Nurse Anesthetist (crna) Sparrow Clinton Hospital 805 S Oakland St, St Johns, MI 48879-2253
Jane E Motz Certified Registered Nurse Anesthetist (crna) Sparrow Clinton Hospital 805 S Oakland St, St Johns, MI 48879-2253
Phillip Quintela Ii Certified Registered Nurse Anesthetist (crna) Sparrow Clinton Hospital 805 S Oakland St, St Johns, MI 48879-2253
Bradley J Garrett Emergency Medicine Sparrow Clinton Hospital 805 S Oakland St, Clinton Erd, St Johns, MI 48879-2253

Physicians in the same zip code

Name Specialty Organization Address
Edward Peters Optometry Avery Vision Center PC 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129
Rodger W Massa Chiropractic 1004 N Us Hwy 27, Saint Johns, MI 48879-1129
Raphaello Addiego Ophthalmology Mid Michigan Eye Care Center PC 1002 N Us Hwy 27, Avery Eye Care Center, Saint Johns, MI 48879-1129
Thu Thi Anh To Optometry Avery Vision Center PC 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129
Edward Avery Peters Iii Optometry Avery Vision Center PC 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129
Mark S White Optometry Avery Vision Center PC 1002 N Us, 27 Avery Eye Care Center PC, St Johns, MI 48879-1129
Elizabeth A Olson Psychologist, Clinical 710 N Mead St, St Johns, MI 48879-1332
David L Peters Optometry 611 W State St, Saint Johns, MI 48879-1468
Rachel L Boots-rositas Clinical Social Worker Community Mental Health Authority of Clinton Eaton Ingham Counties 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513
Leah Ann Tarrant Clinical Social Worker Community Mental Health Authority of Clinton Eaton Ingham Counties 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513
Find all physicians in zip 48879

Competitor

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City ST JOHNS
Zip Code 48879
Specialty EMERGENCY MEDICINE
City + Specialty ST JOHNS + EMERGENCY MEDICINE

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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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