Illini Community Physicians – Emergency Medicine Physician, NPI 1992038640
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Illini Community Physicians
1005, Broadway Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623012834
Phone: (217) 223-8400
Fax: (217) 223-9945
Type: Mailing
Washington Street, Waverley, Pittsfield, Somerset County, Maine, 04967, United States
PITTSFIELD, IL 623631350
Phone: (217) 285-2113
Fax: (217) 285-2989
Type: Location
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: 2005-04-19
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 62301)
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