| Bunker Hill Medical Clinic | |
|
144 North Washington Street Bunker Hill IL 62014 | |
| (618) 585-6290 | |
| (618) 585-6293 |
| Full Name | Bunker Hill Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 144 North Washington Street, Bunker Hill, Illinois |
| Authorized Official Name and Position | Gregg L. Laws (DOCTOR) |
| Authorized Official Contact | 6185856290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bunker Hill Medical Clinic Po Box 323 Bunker Hill IL 62014-0323 Ph: (618) 585-6290 | Bunker Hill Medical Clinic 144 North Washington Street Bunker Hill IL 62014 Ph: (618) 585-6290 |
| NPI Number | 1689874182 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689874182 | NPI | - | NPPES |
| 9900567 | Other | IL | BLUE CROSS BLUE SHIELD |
| C43578 | Other | UPIN | |
| 134799 | Other | HEALTHLINK | |
| 036063415 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036063415 (Illinois) | Primary |
Bunker Hill Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 144 N Washington St, Bunker Hill, IL 62014 Phone: 618-397-3303 Fax: 618-397-7802 |