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3200 Broadway St Quincy IL 62301-3712 | |
(217) 223-8400 | |
(217) 223-9945 |
Full Name | |
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Speciality | General Practice |
Location | 3200 Broadway St, Quincy, Illinois |
Authorized Official Name and Position | Timothy A Moore (CAO) |
Authorized Official Contact | 2172231200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1005 Broadway St Quincy IL 62301-2834 Ph: (217) 223-8400 | 3200 Broadway St Quincy IL 62301-3712 Ph: (217) 223-8400 |
NPI Number | 1144553256 |
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Provider Enumeration Date | 09/09/2009 |
Last Update Date | 02/13/2014 |
Identifier | Type | State | Issuer |
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1144553256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Broadway St, Quincy, IL 62305 Phone: 217-228-1060 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S 24th St Ste 100, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |