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Contact Information

DEOGRACIAS F QUIZON, MD
217 S LOCUST ST
PANA MEDICAL GROUP LLC
PANA, IL62557
 Phone: 217-562-2143
 Fax: 217-562-2251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEOGRACIAS F QUIZON · (Male)

NPI # 1437228319
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 02/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036049833
  • IL Medicaid 036049833
  • Other 117915 3RD PARTY ADMIN HEALTH LI
  • Other 1115581 BCBS HEALTH PLAN
Hospital affiliation(s)
  • PANA COMMUNITY HOSPITAL - (Critical Access)
    101 E NINTH STREET
    PANA, IL 62557
  • TAYLORVILLE MEMORIAL HOSPITAL - (Critical Access)
    201 EAST PLEASANT STREET
    TAYLORVILLE, IL 62568
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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