Bushnell Family Practice, Sc

NPI 1316096399 - Family Medicine - 207Q00000X

NPI Details
NPI 1316096399
Enumeration Date 01/09/2007
Last Updated 11/03/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position PRESIDENT
Phone (309) 772-9444
Fax (309) 772-6446
Practice Location
155 W HAIL ST
BUSHNELL IL, 61422-1346, US
Phone (309) 772-9444
Fax (309) 772-6446
Business Location
PO BOX 446
MACOMB IL, 61455-0446, US
Phone (309) 833-2868
Fax (309) 836-3779
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036062336
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According to our database, Bushnell Family Practice, Sc NPI is 1316096399, taxonomy code is 207Q00000X and license number is 036062336, license state is located at Illinois. Bushnell Family Practice, Sc physically located at 155 W Hail St, Bushnell IL, 61422-1346. NPI Number 1033115704 has the healthcare provider type.

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1316096399 NPI number is provided on an as is basis without warranty of any kind. 1316096399 is maintained by the National Plan & Provider Enumeration System. The contents of Bushnell Family Practice, Sc are for informational purposes only.