| Bushnell Family Practice, Sc | |
|
155 W Hail St Bushnell IL 61422-1346 | |
| (309) 772-9444 | |
| (309) 772-6446 |
| Full Name | Bushnell Family Practice, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 155 W Hail St, Bushnell, Illinois |
| Authorized Official Name and Position | John Arnold (PRESIDENT) |
| Authorized Official Contact | 3097729444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushnell Family Practice, Sc Po Box 446 Macomb IL 61455-0446 Ph: (309) 833-2868 | Bushnell Family Practice, Sc 155 W Hail St Bushnell IL 61422-1346 Ph: (309) 772-9444 |
| NPI Number | 1316096399 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316096399 | NPI | - | NPPES |
| 036062336 | Medicaid | IL | |
| 5515957 | Other | IL | BLUE CROSS BLUE SHIELD |
| 148952 | Other | IL | MEDICARE PART A |
| 014509 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036062336 (Illinois) | Primary |
Bushnell Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 W Hail St, Bushnell, IL 61422 Phone: 309-772-9444 Fax: 309-772-9446 |