Dane Jack Church, MD
Dane Jack Church, MD is an Orthopedic Surgery in Springfield, Illinois. Qualified in 2013, 13 years ago. Practices with Orthopaedic Center of Il, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 13
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1301 S Koke Mill RdSpringfield, IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9236
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-4175
Specialties & licences
| Adult Reconstructive Orthopaedic Surgery Physician (primary) | Taxonomy 207XS0114X · Licence 036148467 (IL) |
|---|
Record details
| NPI number | 1790128387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2013 |
| Last updated in NPPES | April 13, 2020 |
| Certification date | April 13, 2020 |
| Mailing address | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Orthopaedic Center Of Il — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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