Mark A Wiechert (NPI# 1063513893, PAC ID# 6002099744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1063513893 |
| PAC ID by PECOS | 6002099744 |
| Professional Enrollment ID | I20110317000864 |
| Full Name | Mark A Wiechert |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Address |
1707 N Henderson St Galesburg IL 61401-1320 |
| Phone Number | 3093431000 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3678889789 |
| Number of Group Practice Members | 1026 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140064 | ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1707 N Henderson St, Galesburg, IL 61401-1320 | 3093431000 | OSF MULTI-SPECIALTY GROUP |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Physicians | 1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Christina S Chen Milhone | Pediatric Medicine | Osf Multi-specialty Group | 2806 N Knoxville Ave, Peoria, IL 61604-2870 |
| Katelyn J Stites | Nurse Practitioner | Osf Multi-specialty Group | 106 S 1st St, Fairbury, IL 61739-1509 |
| Andrea M Shewalter | Nurse Practitioner | Osf Multi-specialty Group | 535 Roxbury Rd, Rockford, IL 61107-5076 |
| Kathleen M Hendricks | Nurse Practitioner | Osf Multi-specialty Group | 2809 W Willow Knolls Dr, Peoria, IL 61614-8517 |
| Carrie B Finley | Nurse Practitioner | Osf Multi-specialty Group | 1209 Starfire Dr, Suite 2, Ottawa, IL 61350-1688 |
| Laine E Burek | Nurse Practitioner | Osf Multi-specialty Group | 1765 Bradford Ln, Normal, IL 61761-1296 |
| James C Plasky | Nurse Practitioner | Osf Multi-specialty Group | 6830 Villagreen Vw, Rockford, IL 61107-5639 |
| Jubilee C Phan | Urology | Osf Multi-specialty Group | 1001 Main St, Suite 400, Peoria, IL 61606-2036 |
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Street Address |
1707 N HENDERSON ST |
| City | GALESBURG |
| State | IL |
| Zip | 61401-1320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari N Bruening | Nurse Practitioner | Osf Multi-specialty Group | 1707 N Henderson St, Galesburg, IL 61401-1320 |
| Timothy A Stead | Nurse Practitioner | Osf Multi-specialty Group | 1707 N Henderson St, Galesburg, IL 61401-1320 |
| Brij B Jamnadas | Internal Medicine | Osf Multi-specialty Group | 1707 N Henderson St, Galesburg, IL 61401-1320 |
| Pamela J Bloomfield | Nurse Practitioner | Osf Multi-specialty Group | 1707 N Henderson St, Galesburg, IL 61401-1320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise M Johnson Dechow | Psychiatry | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Yekaterina Fayn | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Tyson R Kinnick | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Harsha S Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Shrikant A Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Mark E Davis | General Surgery | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Kimberly A Cheek | Nurse Practitioner | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Amy Mefford | Certified Nurse Midwife | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Daniel K Piper | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Yufan Chen | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0501 |
| Find all physicians in zip 61401 | |||
| City | GALESBURG |
| Zip Code | 61401 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GALESBURG + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark A Wiechert.
| 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.