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1005 Health Center Dr Suite 101 Mattoon IL 61938-4693 | |
| (217) 238-4866 | |
| (217) 238-4868 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1005 Health Center Dr, Mattoon, Illinois |
| Authorized Official Name and Position | Dennis Pluard (VP OF OPERATIONS) |
| Authorized Official Contact | 2172582102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1005 Health Center Dr Suite 101 Mattoon IL 61938-4693 Ph: (217) 238-4866 | 1005 Health Center Dr Suite 101 Mattoon IL 61938-4693 Ph: (217) 238-4866 |
| NPI Number | 1447791447 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447791447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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