Hoopeston Emergency Medicine Specialists, LTD.

Organization Active NPI Emergency Medicine Physician · Hoopeston, IL

NPI 1316965197 · NPPES record last updated Aug 9, 2012

Key facts

NPI
1316965197
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
License
042618113 (IL)
Legal business name
HOOPESTON EMERGENCY MEDICINE SPECIALISTS, LTD.
Practice address
701 E Orange St
Hoopeston, IL 60942-1801
Phone
(708) 393-7533
NPI assigned
Jul 18, 2006
Organization subpart
No

Authorized official

Name
Dr. John A. Timmons, MD
Title
President
Phone
(708) 393-7533

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040124000083 IL Part B Supplier - Clinic/Group Practice 0941102446 Receives reassigned benefits from 16 practitioners
Practice locations: Hoopeston, IL

National Provider Directory

Locations

6948 W Windsor Ave
Berwyn, IL 60402
Phone (708) 393-7533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X 042618113 IL Yes

Addresses

Primary practice location

701 E Orange St
Hoopeston, IL 60942-1801

Mailing address

6948 Windsor Ave
Berwyn, IL 60402-3335
Phone (708) 393-7533

Other providers in Hoopeston, IL

All providers in Hoopeston, IL · Emergency Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.