| Adams Enterprises Of East Central Illinois Pc | |
|
1109 N State St Monticello IL 61856-1175 | |
| (217) 762-8576 | |
| (217) 762-8578 |
| Full Name | Adams Enterprises Of East Central Illinois Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1109 N State St, Monticello, Illinois |
| Authorized Official Name and Position | Gay Lynne Adams (PRESIDENT) |
| Authorized Official Contact | 2177628576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adams Enterprises Of East Central Illinois Pc Po Box 235 Monticello IL 61856-0235 Ph: () - | Adams Enterprises Of East Central Illinois Pc 1109 N State St Monticello IL 61856-1175 Ph: (217) 762-8576 |
| NPI Number | 1366705113 |
|---|---|
| Provider Enumeration Date | 06/18/2012 |
| Last Update Date | 06/18/2012 |
| Medicare PECOS PAC ID | 2961667027 |
|---|---|
| Medicare Enrollment ID | O20120622000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366705113 | NPI | - | NPPES |
| 07423137 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038-007231 (Illinois) | Primary |
| Provider Name | Gay Lynne Adams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073652913 PECOS PAC ID: 2769647825 Enrollment ID: I20120622000638 |
Kirby Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-2115 Fax: 217-762-1502 | |
Kirby Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-2115 Fax: 217-762-1502 |