| Western Illinois University | |
|
1 University Cir Macomb IL 61455-1367 | |
| (309) 298-1888 | |
| (309) 298-2188 |
| Full Name | Western Illinois University |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 University Cir, Macomb, Illinois |
| Authorized Official Name and Position | Mary Margaret Harris (DIRECTOR) |
| Authorized Official Contact | 3092981888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Illinois University 1 University Cir Macomb IL 61455-1367 Ph: (309) 298-1888 | Western Illinois University 1 University Cir Macomb IL 61455-1367 Ph: (309) 298-1888 |
| NPI Number | 1487806436 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487806436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180000305 (Illinois) | Primary |
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