Family Medicine Of Mcleansboro Llc

NPI 1801920889 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1801920889
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL S MICHAEL
Position MANAGER
Phone (618) 643-2835
Fax (618) 643-2891
Practice Location
208 S WASHINGTON ST
MCLEANSBORO IL, 62859-1139, US
Phone (618) 643-2835
Fax (618) 643-2891
Business Location
208 SOUTH WASHINGTON STREET
MCLEANSBORO IL, 62859, US
Phone (618) 643-2835
Fax (618) 643-2891
Toxanomy
Taxonomy Code 363LF0000X
License State
License Number
Remove 1801920889 NPI Number
 

According to our database, Family Medicine Of Mcleansboro Llc NPI is 1801920889, taxonomy code is 363LF0000X Family Medicine Of Mcleansboro Llc physically located at 208 S Washington St, Mcleansboro IL, 62859-1139. NPI Number 1033115704 has the healthcare provider type.

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1801920889 NPI number is provided on an as is basis without warranty of any kind. 1801920889 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medicine Of Mcleansboro Llc are for informational purposes only.