| Anderson Family Practice | |
|
3505 Broadway St Mount Vernon IL 62864-2202 | |
| (618) 244-7788 | |
| (618) 244-9330 |
| Full Name | Anderson Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3505 Broadway St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Alan W Anderson (PRESIDENT) |
| Authorized Official Contact | 6182447788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Family Practice 500 N 27th St Mount Vernon IL 62864-2924 Ph: (618) 244-3245 | Anderson Family Practice 3505 Broadway St Mount Vernon IL 62864-2202 Ph: (618) 244-7788 |
| NPI Number | 1023235348 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023235348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
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