Saint James Hospital - Multiple Hospital Departments – Anesthesiology Physician, NPI 1790735421
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Saint James Hospital - Multiple Hospital Departments
West Reynolds Street, Pontiac, Livingston County, Illinois, 61764, United States
PONTIAC, IL 617649774
Phone: (815) 842-2828
Fax: (815) 842-4912
Type: Location
124 SW ADAMS ST
PEORIA, IL 616021320
Phone: (309) 655-2850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-04
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61764)
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