| Mahomet Clinic Llc | |
|
1002 Churchill Rd Ste 1 Mahomet IL 61853-7456 | |
| (217) 655-4993 | |
| Not Available |
| Full Name | Mahomet Clinic Llc |
|---|---|
| Speciality | Counselor |
| Location | 1002 Churchill Rd Ste 1, Mahomet, Illinois |
| Authorized Official Name and Position | Jeffrey Schroder (PHYSICAL THERAPIST OWNER) |
| Authorized Official Contact | 2176554993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahomet Clinic Llc 1002 Churchill Rd Ste 1 Mahomet IL 61853-7456 Ph: () - | Mahomet Clinic Llc 1002 Churchill Rd Ste 1 Mahomet IL 61853-7456 Ph: (217) 655-4993 |
| NPI Number | 1841012770 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841012770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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