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112 W Madison Ave Chrisman IL 61924-1118 | |
(217) 269-2394 | |
(217) 269-2438 |
Full Name | |
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Speciality | Clinic/Center |
Location | 112 W Madison Ave, Chrisman, Illinois |
Authorized Official Name and Position | Martin Adams (VP OF FINANCE & CFO) |
Authorized Official Contact | 2174664246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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727 E Court St Paris IL 61944-2460 Ph: (217) 465-4141 | 112 W Madison Ave Chrisman IL 61924-1118 Ph: (217) 269-2394 |
NPI Number | 1447314653 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 09/30/2024 |
Certification Date | 09/30/2024 |
Medicare PECOS PAC ID | 7315933827 |
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Medicare Enrollment ID | O20100702000313 |
Identifier | Type | State | Issuer |
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1447314653 | NPI | - | NPPES |
2315368 | Other | IL | BLUE CROSS BLUE SHIELD |