Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1447234307
Anatomic Pathology & Clinical Pathology Physician
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Provider Addresses for Unknown Individual
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
INDIANAPOLIS, IN 462061105
Phone: (618) 457-5200
Fax: (618) 351-4821
Type: Mailing
Herrin Hospital, 201, South 14th Street, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4935
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 351-4957
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0538
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IL | 88342 | Tissue or cell analysis by immunologic technique | 412 | 340 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| U R O L O G Y | IL |
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