Family Practice Associates Of Macomb Ltd

NPI 1154306397 - Family Medicine - 207Q00000X

NPI Details
NPI 1154306397
Enumeration Date 12/09/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK LEE JACK
Position PRESIDENT
Phone (309) 833-1733
Fax (309) 836-2369
Practice Location
505 E GRANT ST
SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
MACOMB IL, 61455-3352, US
Phone (309) 833-1733
Fax (309) 836-2369
Business Location
505 E GRANT ST
SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
MACOMB IL, 61455-3352, US
Phone (309) 833-1733
Fax (309) 836-2369
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Family Practice Associates Of Macomb Ltd NPI is 1154306397, taxonomy code is 207Q00000X Family Practice Associates Of Macomb Ltd physically located at 505 E Grant St, Macomb IL, 61455-3352. NPI Number 1033115704 has the healthcare provider type.

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1154306397 NPI number is provided on an as is basis without warranty of any kind. 1154306397 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Associates Of Macomb Ltd are for informational purposes only.