Deandra Bockhold
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY


Address: 612 N 11th St, Quincy, IL 62301-2662
Phone: 2172249484

Deandra Bockhold (NPI# 1003219593, PAC ID# 9739435835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1003219593
PAC ID by PECOS 9739435835
Professional Enrollment ID I20180703000860
Full Name Deandra Bockhold
Organization Legal Name BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Address 612 N 11th St
Quincy
IL 62301-2662
Phone Number 2172249484
Gender F
Graduation Year 2014
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 4486667888
Number of Group Practice Members 52
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
612 N 11th St, Quincy, IL 62301-2662 2172249484 BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Organization Information

Organization Legal Name BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Physicians 50

Physicians with the same organization

Name Specialty Organization Address
Helen L Moose Certified Nurse Midwife (cnm) Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Janet Regine Albers Family Medicine Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Arindam Chakrabarty Psychiatry Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Paul Anthony Hibbert Family Medicine Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Airn A Etherton Nurse Practitioner Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Johnny C Tenegra Family Medicine Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Amit Sapra Family Medicine Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Rebecca Sharpe-whitaker Nurse Practitioner Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Jessie A Junker Family Medicine Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238
Dae Hyoun Jeong Family Medicine Board of Trustees of Southern Illinois University 520 N 4th St, Springfield, IL 62702-5238

Office Location

Street Address 612 N 11TH ST
City QUINCY
State IL
Zip 62301-2662

Physicians in the same location

Name Specialty Organization Address
Paul Anthony Hibbert Family Medicine Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Rebecca Sharpe-whitaker Nurse Practitioner Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Mary Kay Schlegl Nurse Practitioner Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Christie Nicole Stewart Physician Assistant Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Theresa Helen Oakley Physician Assistant Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Shawn A Holcomb Family Medicine Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Cesar Sobremonte Arguelles Family Medicine Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Michael E Connolly Family Medicine Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Timothy Titus Ott Family Medicine Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
Stacy S Melton Clinical Social Worker Board of Trustees of Southern Illinois University 612 N 11th St, Quincy, IL 62301-2662
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Name Specialty Organization Address
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Amanda Hubner Nurse Practitioner Illinois Veterans Home At Quincy 1707 N 12th St, 29m, Quincy, IL 62301-1355
Breanna Marie Schmitt Chiropractic Kirk G Gribler Dc Inc 1806 Chestnut St, Quincy, IL 62301-2120
Kirk G Gribler Chiropractic Kirk G Gribler Dc Inc 1806 Chestnut St, Quincy, IL 62301-2120
Diana J Franklin Chiropractic Franklin Total Wellness Center, LLC 1201 N 24th St, Quincy, IL 62301-2232
Brandon Anthony Bruening Chiropractic 1210 N 24th St, Quincy, IL 62301-2233
Taofik Nasrat Neurology Blessing Corporate Services 1107 College Ave, Suite 1, Quincy, IL 62301-2600
John R S Deguzman Physical Medicine and Rehabilitation Blessing Corporate Services 1107 College Ave, Suite 1, Quincy, IL 62301-2600
Duane Anthony Hanzel Podiatry Blessing Corporate Services 1107 College Ave, Suite 1, Quincy, IL 62301-2600
Joseph Lane Family Medicine Blessing Corporate Services 1107 College Ave, Suite 1, Quincy, IL 62301-2600
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Competitor

Search similar physicians

City QUINCY
Zip Code 62301
Specialty CLINICAL SOCIAL WORKER
City + Specialty QUINCY + CLINICAL SOCIAL WORKER

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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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