Jill C Obrien (NPI# 1295908259, PAC ID# 9638147176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295908259 |
| PAC ID by PECOS | 9638147176 |
| Professional Enrollment ID | I20050928000645 |
| Full Name | Jill C Obrien |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Address |
405 Charles St Mount Morris IL 61054-1646 |
| Phone Number | 8157346061 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911890009 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140012 | KATHERINE SHAW BETHEA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 405 Charles St, Mount Morris, IL 61054-1646 | 8157346061 | KSB MEDICAL GROUP INC |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee V Murrin | Nurse Practitioner | Ksb Medical Group Inc | 305 Joe Dr W, Amboy, IL 61310-9001 |
| Perry S Damian | Family Medicine | Ksb Medical Group Inc | 1307 W Washington St, Oregon, IL 61061-1001 |
| Joyce Johnson | Family Medicine | Ksb Medical Group Inc | 102 S Hennepin Ave, Dixon, IL 61021-3013 |
| Adnan A Muhsin | Internal Medicine | Ksb Medical Group Inc | 144 N Court St, Dixon, IL 61021-1224 |
| Waseem Ahmad | Neurology | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| David J Powers | General Surgery | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Saad Y Blaney | Pathology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Kyle D Swanson | Podiatry | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Russell J Bodner | Orthopedic Surgery | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Audra D Washo | Nurse Practitioner | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Street Address |
405 CHARLES ST |
| City | MOUNT MORRIS |
| State | IL |
| Zip | 61054-1646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loyd J Wollstadt | Geriatric Medicine | The Board of Trustees of The University of Illinois | 405 Charles St, Mount Morris, IL 61054-1646 |
| Michael Y Torchinsky | Endocrinology | The Board of Trustees of The University of Illinois | 405 Charles St, Mount Morris, IL 61054-1646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronnie B Woods Jr. | Chiropractic | Aspiring Health, Ltd | 315 E Hitt St, Suite 2, Mount Morris, IL 61054-1209 |
| Michael D Nelson | Chiropractic | Aspiring Health, Ltd | 315 E Hitt St, Suite 2, Mount Morris, IL 61054-1209 |
| Bruce Edward Denton | Chiropractic | 500 Evergreen Ln, Suite 103, Mount Morris, IL 61054-9723 |
| City | MOUNT MORRIS |
| Zip Code | 61054 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNT MORRIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jill C Obrien.
| 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.