Nicole E Mourillon (NPI# 1669456018, PAC ID# 5496642621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1669456018 |
| PAC ID by PECOS | 5496642621 |
| Professional Enrollment ID | I20040302001338 |
| Full Name | Nicole E Mourillon |
| Organization Legal Name | KENNEKUK EMERGENCY PHYSICIANS LLC |
| Address |
812 N Logan Ave Danville IL 61832-3752 |
| Phone Number | 2174435221 |
| Gender | F |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0244395739 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140093 | PRESENCE UNITED SAMARITANS MEDICAL CENTER |
| 140048 | ADVOCATE TRINITY HOSPITAL |
| 140250 | ADVOCATE SOUTH SUBURBAN HOSPITAL |
| 140113 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| Address | Phone | Organization |
|---|---|---|
| 812 N Logan Ave, Danville, IL 61832-3752 | 2174435221 | KENNEKUK EMERGENCY PHYSICIANS LLC |
| 1400 W Park St, Urbana, IL 61801-2334 | 2173372000 | SHEMAUGER EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | KENNEKUK EMERGENCY PHYSICIANS LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward E Leon | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Anthony G Bekkerman | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Frederick J Burke Jr. | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Jose R Reyes | Internal Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| James G Szudera | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Bassem N Mora | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Adolfo Napolez | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Justin D Kriezelman | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Christine P Bishof | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Street Address |
812 N LOGAN AVE |
| City | DANVILLE |
| State | IL |
| Zip | 61832-3752 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward E Leon | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Anthony G Bekkerman | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Frederick J Burke Jr. | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Jose R Reyes | Internal Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Martina B Binder | Nurse Practitioner | Illinois/indiana Em-i Medical Services Sc | 812 N Logan Ave, Danville, IL 61832-3752 |
| James G Szudera | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Leigh Anne Morenus | Nurse Practitioner | Illinois/indiana Em-i Medical Services Sc | 812 N Logan Ave, Danville, IL 61832-3752 |
| Bassem N Mora | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Adolfo Napolez | Emergency Medicine | Kennekuk Emergency Physicians LLC | 812 N Logan Ave, Danville, IL 61832-3752 |
| Robin L Goodwin | Nurse Practitioner | Illinois/indiana Em-i Medical Services Sc | 812 N Logan Ave, Danville, IL 61832-3752 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanelle Y Murphy | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Danyel Schmit | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Timothy Horner | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Kristine Ehlers | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Rhonda Hardy | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Sasha Pryer | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Megan Rand | Physical Therapy | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Haydee Jabines-stewart | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Eleanor K Peters | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Brant Warren Riegel | Chiropractic | Robinson Chiropractic Ltd | 7 Boiling Springs Rd, Danville, IL 61832-1102 |
| Find all physicians in zip 61832 | |||
| City | DANVILLE |
| Zip Code | 61832 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DANVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Nicole E Mourillon.
| 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.