Kelly K Kerksick (NPI# 1750315065, PAC ID# 8729032909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1750315065 |
| PAC ID by PECOS | 8729032909 |
| Professional Enrollment ID | I20050310000342 |
| Full Name | Kelly K Kerksick |
| Organization Legal Name | MIDWEST VISION CARE OF ILLINOIS LLC |
| Address |
915 N Main St Columbia IL 62236-1157 |
| Phone Number | 6182812400 |
| Gender | F |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8123251212 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 915 N Main St, Columbia, IL 62236-1157 | 6182812400 | MIDWEST VISION CARE OF ILLINOIS LLC |
| 915 N Main St, Suite 1, Columbia, IL 62236-1157 | 6182812400 | MIDWEST VISION CARE OF ILLINOIS LLC |
| Organization Legal Name | MIDWEST VISION CARE OF ILLINOIS LLC |
| Physicians | 1 |
| Street Address |
915 N MAIN ST |
| City | COLUMBIA |
| State | IL |
| Zip | 62236-1157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay E Tallis | Optometry | 915 N Main St, Bloomington, IL 61701-3043 | |
| Rachel Margaret Foster | Optometry | 915 N Main St, Suite 1, Columbia, IL 62236-1157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Mcauliffe | Chiropractic | 109 Wedgewood Dr, Columbia, IL 62236-1016 | |
| Laurie R Mestdagh | Chiropractic | 1550 N Main St Unit A, Columbia, IL 62236-1070 | |
| Sarah Lynette Yates | Nurse Practitioner | Red Bud Regional Clinic Company LLC | 1000 Eleven S, Suite E, Columbia, IL 62236-1077 |
| Andrea N Thomas | Physician Assistant | Red Bud Regional Clinic Company LLC | 1000 Eleven S, Suite E, Columbia, IL 62236-1077 |
| Katherine E House | Nurse Practitioner | Orthopedic Associates, LLC | 1000 Eleven S, Suite 3c, Columbia, IL 62236-1077 |
| Angela L Tenholder | Oral Surgery | Synergy Therapeutics PC | 1000 Eleven S, Suite 3f, Columbia, IL 62236-1077 |
| Craig Schaefer | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1000 Eleven S, Suite 1b, Columbia, IL 62236-1078 |
| Jennifer Flick | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1000 Eleven S, Suite 1b, Columbia, IL 62236-1078 |
| Autumn C Gleich | Occupational Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1000 Eleven S, Suite 1b, Columbia, IL 62236-1078 |
| Jessica M Wachtel | Physician Assistant | Red Bud Clinic Corp | 1000 Eleven S, Suite 2f, Columbia, IL 62236-1079 |
| Find all physicians in zip 62236 | |||
| City | COLUMBIA |
| Zip Code | 62236 |
| Specialty | OPTOMETRY |
| City + Specialty | COLUMBIA + OPTOMETRY |
Please comment or provide details below to improve the information on Kelly K Kerksick.
| 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.