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1000 N Allen St Ste A Robinson IL 62454-1167 | |
(618) 544-2500 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1000 N Allen St Ste A, Robinson, Illinois |
Authorized Official Name and Position | Debbie A Kiehl (PRACTICE MANAGEMENT OFFICER) |
Authorized Official Contact | 6185448600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1000 N Allen St Ste A Robinson IL 62454-1167 Ph: (618) 544-2500 | 1000 N Allen St Ste A Robinson IL 62454-1167 Ph: (618) 544-2500 |
NPI Number | 1356581540 |
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Provider Enumeration Date | 02/27/2009 |
Last Update Date | 02/27/2009 |
Medicare PECOS PAC ID | 7719898071 |
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Medicare Enrollment ID | O20200108002518 |
Identifier | Type | State | Issuer |
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1356581540 | NPI | - | NPPES |
PENDING | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Michael W Elliott Ii Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 W Craft St, Robinson, IL 62454 Phone: 618-546-5052 Fax: 618-544-2094 | |