Dane Jack Church is a Springfield, Illinois based male orthopedic surgeon with 11 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Other in 2013. He is also affiliated with hospitals like Memorial Medical Center and St Johns Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dane Jack Church is 036148467 for Adult Reconstructive Orthopaedic Surgery in Illinois.
Dane Jack Church deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Dane Jack Church speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
MD
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2013
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1301 S Koke Mill Rd, Springfield, Illinois, 62711-9252
Phone:
217-547-9100
Fax:
217-547-9236
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8123320389
Enrollment ID:
I20190712002290
NPI Number:
1790128387
NPI Enumeration Date:
12 Apr, 2013
NPI Last Update On:
13 Apr, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dane Jack Church are as mentioned below.
License Number
Specialization
State
Status
036148467
Adult Reconstructive Orthopaedic Surgery
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Memorial Medical Center (140148)
Springfield, IL
Acute Care Hospital
St Johns Hospital (140053)
Springfield, IL
Acute Care Hospital
(141352)
Passavant Area Hospital(140058)
Jacksonville, IL
Acute Care Hospital
Abraham Lincoln Memorial Hospital (141322)
Lincoln, IL
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dane Jack Church is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthopaedic Center Of Il (0143299628)
28
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1301 S Koke Mill Rd, Springfield, Illinois
Zip:
62711-9252
Phone Number:
217-547-9100
Fax Number:
217-547-9236
Patients can reach Dane Jack Church at 1301 S Koke Mill Rd, Springfield, Illinois or can call to book an appointment on 217-547-9100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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