| |
101 E Washington St, Pittsfield, IL 62363-1436 | |
(217) 285-5012 | |
(217) 285-4519 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 101 E Washington St, Pittsfield, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407135130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046009247 (Illinois) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
6500 Hospital Dr, P O Box 1239, Hannibal, MO 63401-6890 Ph: (573) 406-5888 | 101 E Washington St, Pittsfield, IL 62363-1436 Ph: (217) 285-5012 |