MEDICARE: HOPEDALE MEDICAL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	1706400	IL

General Provider Information

NPI Number	:	1174569438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPEDALE MEDICAL FOUNDATION

Provider Business Mailing Address
First Line	:	PO BOX 267
Second Line	:
City	:	HOPEDALE
State	:	IL
Zip	:	61747-0267
Country	:	US
Telephone Number	:	309-449-3321
Fax Number	:	309-449-5441

Provider Business Practice Location Address
First Line	:	107 TREMONT
Second Line	:
City	:	HOPEDALE
State	:	IL
Zip	:	61747-0267
Country	:	US
Telephone Number	:	309-449-3321
Fax Number	:	309-449-5441

Authorized Official
Title or Position	:	CEO
Name	:	DR. ALFRED NELLO ROSSI
Credential	:	M.D.
Telephone Number	:	309-449-4338

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	02/22/2023

Similar Medicare Providers

1033157292 — DR. ALFRED NELLO ROSSI MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1205874310 — DR. MATTHEW BRANDL ROSSI MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1114965225 — DR. PHILLIP JOSEPH ROSSI MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1023056132 — DR. DAWN M VERA MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1942396544 — MRS. JENNIFER N. HINMAN
Practice Location Address:

107 TREMONT
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61747-0267

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1275616740 — HOPEDALE MEDICAL FOUNDATION
Practice Location Address:

107 TREMONT ST.
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-3321
Practice Fax:

Directions to “HOPEDALE MEDICAL FOUNDATION ” Practice Location

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