Amelia L. Dean, M.D.
Individual provider Active NPI Family Medicine Physician · Pittsfield, IL
NPI 1013980200 · NPPES record last updated Aug 12, 2013
Key facts
- NPI
- 1013980200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036101467 (IL)
- Practice address
- 320 N Madison
Pittsfield, IL 62363 - Phone
- (217) 285-9601
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101467 | IL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036101467 | IL | Yes |
Addresses
Primary practice location
320 N Madison
Pittsfield, IL 62363
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101467 | Medicaid | IL |
Other providers in Pittsfield, IL
- County of Pike
- Nicole Christine Crockett
- Christina Cunningham
- Dan K. Speckhart D.M.D. and Douglas J. White D.M.D., P.C.
- Jennifer Davidson
- Marsha Dejaynes
- Jose Cris Delrosario
- Tara Renee Dolbeare
- Riley James Donohoe
- Donna Dunn
All providers in Pittsfield, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.