| |
516 W Madison St Danville IL 61832-5657 | |
(217) 431-7600 | |
(217) 431-7850 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 516 W Madison St, Danville, Illinois |
Authorized Official Name and Position | Heather Tucker (ADMINISTRATOR) |
Authorized Official Contact | 2172835531 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
701 E Orange St Hoopeston IL 60942-1801 Ph: (217) 383-6792 | 516 W Madison St Danville IL 61832-5657 Ph: (217) 431-7600 |
NPI Number | 1669802419 |
---|---|
Provider Enumeration Date | 11/14/2013 |
Last Update Date | 02/06/2025 |
Medicare PECOS PAC ID | 3577456037 |
---|---|
Medicare Enrollment ID | O20140130000298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669802419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Muhammad Mushtaq Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Fairchild St, Suite B, Danville, IL 61832 Phone: 217-431-1100 Fax: 217-431-2900 | |
Vermilion Medical Center Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 West Fairchild Street, Suite A, Danville, IL 61832 Phone: 217-443-3866 Fax: 217-443-0216 | |
Va Illiana Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main Street, Danville, IL 61832 Phone: 217-554-5630 | |