Keith R Martin
FREEPORT REGIONAL HEALTH CARE FOUNDATION


Address: 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Phone: 8155997750

Keith R Martin (NPI# 1801007190, PAC ID# 6406768829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1801007190
PAC ID by PECOS 6406768829
Professional Enrollment ID I20080521000797
Full Name Keith R Martin
Organization Legal Name FREEPORT REGIONAL HEALTH CARE FOUNDATION
Address 25 N Harlem Ave
Fhn Family Healthcare Center
Freeport
IL 61032-3801
Phone Number 8155997750
Gender M
Medical School CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year 1988
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 9234041682
Number of Group Practice Members 93
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140160 FHN MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 8155997750 FREEPORT REGIONAL HEALTH CARE FOUNDATION

Organization Information

Organization Legal Name FREEPORT REGIONAL HEALTH CARE FOUNDATION
Physicians 82

Physicians with the same organization

Name Specialty Organization Address
Marla J Bagge Nurse Practitioner Freeport Regional Health Care Foundation 2107 Chicago Ave, Savanna, IL 61074-1716
Danielle E Siedschlag Nurse Practitioner Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Mary J Harker Nurse Practitioner Freeport Regional Health Care Foundation 555 W S St, Freeport, IL 61032-6792
Stephanie K Snider Physical Therapy Freeport Regional Health Care Foundation 1763 S Dirck Dr, Freeport, IL 61032-6707
April L Moore Family Medicine Freeport Regional Health Care Foundation 803 S 1st Ave, Fhn Family Healthcare Center, Forreston, IL 61030-9575
Robert Geller Infectious Disease Freeport Regional Health Care Foundation 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864
Angela K Conklin Nurse Practitioner Freeport Regional Health Care Foundation 1120 Healthcare Dr, Mount Carroll, IL 61053-1461
Tracy L Dysard Nurse Practitioner Freeport Regional Health Care Foundation 3001 Highland View Dr, Freeport, IL 61032-6942
Renu Dosi Internal Medicine Freeport Regional Health Care Foundation 1010 Fairway Dr, Freeport, IL 61032-9998
Shannon K Lizer Nurse Practitioner Freeport Regional Health Care Foundation 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310

Office Location

Street Address 25 N HARLEM AVE
FHN FAMILY HEALTHCARE CENTER
City FREEPORT
State IL
Zip 61032-3801

Physicians in the same location

Name Specialty Organization Address
Danielle E Siedschlag Nurse Practitioner Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Farouk F Isawi Gynecological Oncology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Sara E Smith Nurse Practitioner Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Linda H Holt Obstetrics/gynecology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Seema Kumar Neurology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Ruhee K Sidhu Obstetrics/gynecology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Cheryl Gertsch Nurse Practitioner Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Hanny Isawi Ophthalmology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Melody J Cates Nurse Practitioner Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Alyssa Vandyk Obstetrics/gynecology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Shannon K Lizer Nurse Practitioner Freeport Regional Health Care Foundation 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310
Elizabeth Myers Nurse Practitioner Freeport Regional Health Care Foundation 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310
Michael Robert Perry Internal Medicine Freeport Regional Health Care Foundation 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310
Shyrlena L Bogard Obstetrics/gynecology Freeport Regional Health Care Foundation 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801
Shannon L Watley Obstetrics/gynecology Freeport Regional Health Care Foundation 25 N Harlem Ave, Freeport, IL 61032-3801
Tara H Theisen Chiropractic David Low Back Center Dc 1019 W Galena Ave, Freeport, IL 61032-3819
Paul M Theisen Chiropractic David Low Back Center Dc 1019 W Galena Ave, Freeport, IL 61032-3819
Lori Danielle Kintzel Chiropractic 888 W Galena Ave, Freeport, IL 61032-3974
Misty Dehaven Nurse Practitioner Jane Addams Community Mental Health Center 421 W Exchange St, Freeport, IL 61032-4030
Natalie M Beck Clinical Social Worker Jane Addams Community Mental Health Center 421 W Exchange St, Freeport, IL 61032-4030
Find all physicians in zip 61032

Competitor

Search similar physicians

City FREEPORT
Zip Code 61032
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty FREEPORT + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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