Richard Kube Ii (NPI# 1386625374, PAC ID# 4981642873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1386625374 |
| PAC ID by PECOS | 4981642873 |
| Professional Enrollment ID | I20060828000218 |
| Full Name | Richard Kube Ii |
| Organization Legal Name | PRAIRIE SPINE AND PAIN INSTITUTE SC |
| Address |
7620 N University St Suite 104 Peoria IL 61614-8300 |
| Phone Number | 3096917774 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8729137393 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140013 | PROCTOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1002 N Pentecost Dr, Marion, IL 62959-5820 | 3096917774 | PRAIRIE SPINE AND PAIN INSTITUTE SC |
| 7620 N University St, Suite 104, Peoria, IL 61614-8300 | 3096917774 | PRAIRIE SPINE AND PAIN INSTITUTE SC |
| Organization Legal Name | PRAIRIE SPINE AND PAIN INSTITUTE SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Clay Kitterman | Physician Assistant | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Jeremy W Przybylo | Physical Therapy | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Lori D Welke | Physician Assistant | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Jennifer L Meeker | Physician Assistant | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Street Address |
7620 N UNIVERSITY ST SUITE 104 |
| City | PEORIA |
| State | IL |
| Zip | 61614-8300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Clay Kitterman | Physician Assistant | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Jeremy W Przybylo | Physical Therapy | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Lori D Welke | Physician Assistant | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Daryl D Chenoweth | Certified Registered Nurse Anesthetist | Airway Anesthesia PC | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Jennifer L Meeker | Physician Assistant | Prairie Spine and Pain Institute Sc | 7620 N University St, Suite 104, Peoria, IL 61614-8300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PEORIA + ORTHOPEDIC SURGERY |
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| 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.