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120 E Court St Toulon IL 61483-5388 | |
| (309) 286-7240 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 E Court St, Toulon, Illinois |
| Authorized Official Name and Position | Christopher J Nordloh (CFO) |
| Authorized Official Contact | 7087477100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | 120 E Court St Toulon IL 61483-5388 Ph: (309) 286-7240 |
| NPI Number | 1699948224 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699948224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 047 (Illinois) | Primary |
County Of Henry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Court St, Toulon, IL 61483 Phone: 309-852-3115 |