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321 S 10th St Mount Vernon IL 62864-4206 | |
| (618) 244-0344 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Foster Care Agency |
| Location | 321 S 10th St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Gary Huelsmann (CEO) |
| Authorized Official Contact | 6182138700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8601 W Main St Belleville IL 62223-1719 Ph: (618) 213-8700 | 321 S 10th St Mount Vernon IL 62864-4206 Ph: (618) 244-0344 |
| NPI Number | 1275862120 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275862120 | NPI | - | NPPES |
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