Illinois Health Care Clinic, P.C.
Organization Active NPI Internal Medicine Physician · Energy, IL
NPI 1194734459 · NPPES record last updated Jul 2, 2010
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2011.
Key facts
- NPI
- 1194734459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ILLINOIS HEALTH CARE CLINIC, P.C.
- Practice address
- 610 Corbin Dr
Energy, IL 62933-3576 - Phone
- (618) 922-0398
- Fax
- (618) 942-7931
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Sukhdarshan S Bedi, M.D.
- Title
- Medical Director
- Phone
- (618) 922-0398
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
Locations
1131 N Carbon St
Ste C
Marion, IL 62959
Phone (618) 993-8002
1305 N Carbon St
Marion, IL 62959
Phone (618) 997-6666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
610 Corbin Dr
Energy, IL 62933-3576
Mailing address
610 Corbin Dr
Energy, IL 62933-3576
Phone (618) 922-0398
Other names
- MARION FAMILY HEALTH CARE
Other providers in Energy, IL
- Harivansh PLLC
- Helia Healthcare of Energy
- Helia Healthcare of Energy, LLC
- Shelley Lynn Hill
- Holistic Psychiatry Inc
- Jani R Jones
- Elaine Anthony Ketring
- Elisha Nicole Lenard
- Bethany Lyann Mocaby
- Jeff Mocilan
All providers in Energy, IL · Internal 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 Jul 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.