| Benito C Bajuyo Md Pc | |
|
28 Chick St Decker Medical Annex Metropolis IL 62960-2467 | |
| (618) 524-9232 | |
| (618) 524-9489 |
| Full Name | Benito C Bajuyo Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 28 Chick St, Metropolis, Illinois |
| Authorized Official Name and Position | Benito Colanco Bajuyo (OWNER) |
| Authorized Official Contact | 6185249232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benito C Bajuyo Md Pc Po Box 187 Decker Medical Annex Metropolis IL 62960-0187 Ph: (618) 524-9232 | Benito C Bajuyo Md Pc 28 Chick St Decker Medical Annex Metropolis IL 62960-2467 Ph: (618) 524-9232 |
| NPI Number | 1134119654 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134119654 | NPI | - | NPPES |
| 6400025 | Other | BC IL | |
| 262914 | Other | HLK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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