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20163 Corinth Rd Pittsburg IL 62974-1449 | |
(618) 519-9200 | |
(618) 988-0880 |
Full Name | |
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Speciality | Family Medicine |
Location | 20163 Corinth Rd, Pittsburg, Illinois |
Authorized Official Name and Position | Christina Carney (CEO) |
Authorized Official Contact | 6189569521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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109 California St Po Box 577 Carterville IL 62918 Ph: (618) 519-9200 | 20163 Corinth Rd Pittsburg IL 62974-1449 Ph: (618) 519-9200 |
NPI Number | 1912610965 |
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Provider Enumeration Date | 01/04/2023 |
Last Update Date | 04/09/2024 |
Certification Date | 04/09/2024 |
Identifier | Type | State | Issuer |
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1912610965 | NPI | - | NPPES |