Healthworks Med Group Of Illinois, S.c

NPI 1427366921 - Clinic/Center - 261QX0100X

NPI Details
NPI 1427366921
Enumeration Date 09/17/2010
Last Updated 07/07/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARIANNE MARIANNE
Position OWNER
Phone (618) 899-5001
Fax
Practice Location
5100 LAKE TERRANCE NE
MOUNT VERNON IL, 62864-9665, US
Phone (618) 899-5001
Fax
Business Location
5500 MARYLAND WAY
BRENTWOOD TN, 37027-4948, US
Phone (877) 865-9013
Fax (217) 709-2345
Toxanomy
Taxonomy Code 261QX0100X
License State
License Number
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According to our database, Healthworks Med Group Of Illinois, S.c NPI is 1427366921, taxonomy code is 261QX0100X Healthworks Med Group Of Illinois, S.c physically located at 5100 Lake Terrance Ne, Mount Vernon IL, 62864-9665. NPI Number 1033115704 has the healthcare provider type.

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1427366921 NPI number is provided on an as is basis without warranty of any kind. 1427366921 is maintained by the National Plan & Provider Enumeration System. The contents of Healthworks Med Group Of Illinois, S.c are for informational purposes only.