Individual
JOHN KEITH MCILWAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0002
(570) 271-6389
(570) 271-6021
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227083
MA
207R00000X
Internal Medicine Physician
OS013009
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
227083
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS013009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011340930001
—
PA
05
—
2114534
—
MA
Enumeration date
07/14/2005
Last updated
08/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us