Community Medical Clinic | |
135 W Broadway Astoria IL 61501-9634 | |
(309) 329-2926 | |
(309) 329-2656 |
Full Name | Community Medical Clinic |
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Speciality | Clinic/center |
Location | 135 W Broadway, Astoria, Illinois |
Authorized Official Name and Position | Tamra Sue Gadberry (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2173225296 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Medical Clinic 135 W Broadway Astoria IL 61501-9634 Ph: (309) 329-2926 | Community Medical Clinic 135 W Broadway Astoria IL 61501-9634 Ph: (309) 329-2926 |
NPI Number | 1740431964 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 11/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740431964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Illinois) | Primary |
Community Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 W Broadway St, Astoria, IL 61501 Phone: 309-329-2926 Fax: 309-329-2656 |