| |
709 W. Marion Street, Marion, IL 62959-2439 | |
(618) 579-0953 | |
(618) 551-1088 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 709 W. Marion Street, Marion, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1992295570 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: () - | 709 W. Marion Street, Marion, IL 62959-2439 Ph: (618) 579-0953 |