Individual
DR. JOHN MICHAEL CERNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 N MAIN ST, ANNA, IL 62906-1668
(618) 833-3300
Mailing address
515 N MAIN ST, ANNA, IL 62906-1668
(618) 833-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036066934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029385
HEALTH ALLIANCE PROV. #
IL
05
—
036066934
—
IL
01
—
080007449
R.R. MEDICARE PROV. #
IL
01
—
09100030
BCBS PROVIDER NUMBER
IL
01
—
109812
HEALTHLINK PROVIDER #
IL
01
—
371217285
TAX ID
IL
01
—
N8453
GHP PROV. #
IL
Enumeration date
06/21/2005
Last updated
01/20/2011
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