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1050 Fountain Lakes Dr, O Fallon, IL 62269-2595 | |
(779) 713-0903 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 1050 Fountain Lakes Dr, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467133231 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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101 E State St, Kennett Square, PA 19348-3109 Ph: (800) 728-8808 | 1050 Fountain Lakes Dr, O Fallon, IL 62269-2595 Ph: (779) 713-0903 |