John E Lovell, MD
Individual provider Active NPI Family Medicine Physician · Tremont, IL
NPI 1366442881 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1366442881
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036055259 (IL)
- Practice address
- 105 S Locust St
Tremont, IL 61568-0187 - Phone
- (309) 925-2961
- Fax
- (309) 925-4221
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|
| 036055259 | IL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036055259 | IL | Yes |
Addresses
Primary practice location
105 S Locust St
Tremont, IL 61568-0187
Mailing address
105 S Locust St
PO Box 187
Tremont, IL 61568-0187
Phone (309) 925-2961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0901565684 | Other | IL | BCBS |
| 036055259 | Medicaid | IL | |
| 080031011 | Other | IL | RAILROAD MEDICARE |
Other providers in Tremont, IL
- Hayley Rebecka Kalva
- Diane C. Krall
- Frances Lane
- Rachel Ledbetter
- Kimberly Litwiller
- Jacob Majernik
- Amanda Raie Marcanio
- Madison McClurg
- Dagny Michel
- Occult Mental Health PLLC
All providers in Tremont, 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 May 15, 2008. 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.