RONALD CHAMPAGNE

PEORIA TAZEWELL PATHOLOGY GROUP, S.C.

Dr RONALD CHAMPAGNE is a male medical professional, specializing in Pathology. He graduated in 1995 from Rush Medical College Of Rush University.

Contact

PEORIA TAZEWELL PATHOLOGY GROUP, S.C.

210 W WALNUT ST
CANTON
IL
615202444

Tel: 3096475240

RONALD CHAMPAGNE Information

Npi 1306884622
Pac Id 4880718725
Professional Enrollment Id I20100830001061
Last Name CHAMPAGNE
First Name RONALD
Middle Name
Suffix
Gender M
Credential
Medical School Name RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year 1995
Primary Specialty PATHOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
Group Practice Pac Id 1254228711
Number Of Group Practice Members 19
Line 1 Street Address 210 W WALNUT ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANTON
State IL
Zip Code 615202444
Phone Number 3096475240
Hospital Affiliation Ccn 1 140001
Hospital Affiliation Lbn 1 GRAHAM HOSPITAL ASSOCIATION
Hospital Affiliation Ccn 2 140209
Hospital Affiliation Lbn 2 METHODIST MEDICAL CENTER OF ILLINOIS
Hospital Affiliation Ccn 3 140280
Hospital Affiliation Lbn 3 TRINITY - ROCK ISLAND
Hospital Affiliation Ccn 4 140120
Hospital Affiliation Lbn 4 PEKIN MEMORIAL HOSPITAL
Hospital Affiliation Ccn 5 140013
Hospital Affiliation Lbn 5 PROCTOR HOSPITAL
Professional Accepts Medicare Assignment Y

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