Community Health Partnership Of Illinois | |
1009 Main St Mendota IL 61342-1604 | |
(815) 539-6124 | |
(815) 539-9015 |
Full Name | Community Health Partnership Of Illinois |
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Speciality | Clinic/Center |
Location | 1009 Main St, Mendota, Illinois |
Authorized Official Name and Position | Susan Bauer (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3127950000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Health Partnership Of Illinois 205 W Randolph St Suite 2222 Chicago IL 60606-1867 Ph: (312) 795-0000 | Community Health Partnership Of Illinois 1009 Main St Mendota IL 61342-1604 Ph: (815) 539-6124 |
NPI Number | 1093981367 |
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Provider Enumeration Date | 05/06/2008 |
Last Update Date | 10/30/2015 |
Medicare PECOS PAC ID | 6901053511 |
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Medicare Enrollment ID | O20130315000403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093981367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Osf Promptcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St Ste 400, Mendota, IL 61342 Phone: 815-538-7200 | |
Osf Medical Group-washington Street Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Washington Street, Mendota, IL 61342 Phone: 815-538-1825 | |
Associated Physicians, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 E 12th St, Suite 300, Mendota, IL 61342 Phone: 815-539-3141 Fax: 815-487-4901 | |
Dr. Megan's Healthcare Ministries Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Meriden St, Mendota, IL 61342 Phone: 815-539-3739 Fax: 815-539-3753 | |
Osf Saint Paul Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 E 12th St, Mendota, IL 61342 Phone: 815-539-7461 | |
Physician Services Of Mch Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 East 12th Street, Mendota, IL 61342 Phone: 815-539-7461 Fax: 815-538-5516 |