| Centerstone Of Illinois, Inc | |
|
202 S Bentley St Marion IL 62959 | |
| (855) 608-3560 | |
| (618) 997-0489 |
| Full Name | Centerstone Of Illinois, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 S Bentley St, Marion, Illinois |
| Authorized Official Name and Position | Stacy D Phillips (REVENUE CYCLE DEPARTMENT MANAGER) |
| Authorized Official Contact | 6189376483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Of Illinois, Inc 902 W Main St West Frankfort IL 62896-2210 Ph: (618) 937-6483 | Centerstone Of Illinois, Inc 202 S Bentley St Marion IL 62959 Ph: (855) 608-3560 |
| NPI Number | 1982269601 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 2961545173 |
|---|---|
| Medicare Enrollment ID | O20200504000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982269601 | NPI | - | NPPES |
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