Individual
GAIL E PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 E. 1ST STREET, KATHERINE SHAW BETHEA HOSPITAL, DIXON, IL 61021
(815) 285-5629
(815) 285-5634
Mailing address
403 E. 1ST STREET, KATHERINE SHAW BETHEA HOSPITAL, DIXON, IL 61021
(815) 285-5629
(815) 285-5634
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036-102246
IL
208M00000X
Hospitalist Physician
036102246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMER
IL
05
—
036102246
—
IL
01
—
F400261482
MEDICARE PTAN
IL
Enumeration date
07/10/2006
Last updated
09/05/2018
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