Provena Service Corporation
Provena Service Corporation provides Pediatrics Physician services in Danville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
102 N Logan AveDanville, IL 61832-8513 Not confirmed with CMS for 18 years — call before visiting
Phone: (217) 442-5863
Fax: (217) 442-5040
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X (IL) |
|---|
Record details
| NPI number | 1255526687 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Provena Service Corporation |
| Authorized official | Daniel Boland — Financial Reporting Manager · (815) 806-3111 |
| Other names | Provena Medical Group |
| NPI enumerated | September 10, 2007 |
| Last updated in NPPES | April 20, 2008 |
| Mailing address | 9223 W Saint Francis Rd, Frankfort, IL 60423-8330 |
Other providers in Danville
-
Zlatka Kostadinova Jeliazkova, MD
707 N Logan Ave, Danville, IL 61832-4360 · (217) 477-4714
-
Yeonsuk Choi Koo, MD
909 N Logan Ave, Danville, IL 61832-3742 · (217) 431-8133
-
Dr. John A Legett, MD
707 N Logan Ave, Danville, IL 61832-4360 · (217) 446-6410
-
Holly Mae Maes, MD
737 N Logan Ave, Danville, IL 61832-4363 · (217) 442-0433
-
Dr. Nirmala Rajeswaren, MD
1017 W Williams St, Danville, IL 61832-4468 · (217) 446-0446
-
Dr. Padmashree B Reddy, MD
707 N Logan Ave Danville Polyclinic Ltd, Danville, IL 61832-4360 · (217) 477-4716
-
Dr. Carol J Rowe, MD
311 W Fairchild Street Pediatrics, Danville, IL 61832 · (217) 431-7800