| |
331 S Main St Virginia IL 62691-1519 | |
(217) 452-3057 | |
(217) 452-7245 |
Full Name | |
---|---|
Speciality | Clinic/center - Student Health |
Location | 331 S Main St, Virginia, Illinois |
Authorized Official Name and Position | Teresa L Armstrong (ADMINISTRATOR) |
Authorized Official Contact | 2174523057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
331 S Main St Virginia IL 62691-1519 Ph: (217) 452-3057 | 331 S Main St Virginia IL 62691-1519 Ph: (217) 452-3057 |
NPI Number | 1578637062 |
---|---|
Provider Enumeration Date | 11/17/2006 |
Last Update Date | 09/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578637062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |