| Clinical Practice Management, P.c. | |
|
4805 W. Prime Parkway Mchenry IL 60051 | |
| (815) 363-9500 | |
| (815) 363-9696 |
| Full Name | Clinical Practice Management, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4805 W. Prime Parkway, Mchenry, Illinois |
| Authorized Official Name and Position | Thomas H Glimp (PRESIDENT) |
| Authorized Official Contact | 8153639500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Practice Management, P.c. Po Box 550 4805 W. Prime Parkway Mchenry IL 60051 Ph: (815) 363-9500 | Clinical Practice Management, P.c. 4805 W. Prime Parkway Mchenry IL 60051 Ph: (815) 363-9500 |
| NPI Number | 1588760458 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588760458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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