Marc R Dejong (NPI# 1477549541, PAC ID# 2163447822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1477549541 |
| PAC ID by PECOS | 2163447822 |
| Professional Enrollment ID | I20051011001142 |
| Full Name | Marc R Dejong |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Address |
15 Founders Ln Jacksonville IL 62650-3919 |
| Phone Number | 2172911041 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547166076 |
| Number of Group Practice Members | 538 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 140053 | ST JOHNS HOSPITAL |
| 141339 | TAYLORVILLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 Founders Ln, Jacksonville, IL 62650-3919 | 2172911041 | SPRINGFIELD CLINIC LLP |
| 800 N 1st St, Springfield, IL 62702-3719 | 2175287541 | SPRINGFIELD CLINIC LLP |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Physicians | 568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Akers | Nurse Practitioner | Springfield Clinic LLP | 505 E Grant St, Suite 110, Macomb, IL 61455-3394 |
| Kelsey K. Kniepmann | Registered Dietitian Or Nutrition Professional | Springfield Clinic LLP | 350 W Carpenter St, Springfield, IL 62702-4902 |
| Jessica M Sestak | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Elijah Kim | General Surgery | Springfield Clinic LLP | 301 N 8th St 6th Flr, St John Pavilion, Springfield, IL 62701-1041 |
| Rajesh Banderudrappagari | Hematology/oncology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Jared Bernard | Critical Care (intensivists) | Springfield Clinic LLP | 301 N 8th St 3rd Flr Rm, Suite 134, Springfield, IL 62701-1041 |
| Rabia Asghar | Endocrinology | Springfield Clinic LLP | 20613 N Broad St, Carlinville, IL 62626-3720 |
| Tonya L. Heim | Nurse Practitioner | Springfield Clinic LLP | 901 S Koke Mill Rd, Springfield, IL 62711-8012 |
| Amanda L. House | Nurse Practitioner | Springfield Clinic LLP | 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 |
| Brenda S Reiling | Physical Therapy | Springfield Clinic LLP | 100 Marion Pkwy, Suite 149, Sherman, IL 62684-9673 |
| Street Address |
15 FOUNDERS LN |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-3919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Sestak | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| John L Malcott | Family Medicine | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Abigail White | General Surgery | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| James Newman | Sports Medicine | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| William L Peterson | Gastroenterology | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Josiah Hamilton | Physician Assistant | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Kaitlyn Renee Davidson | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Erin M Whalen | Qualified Audiologist | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Mary Leona Sipes Saathoff | Podiatry | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Richard T Eden | Obstetrics/gynecology | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | JACKSONVILLE + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Marc R Dejong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.