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118 N. Walnut Assumption IL 62510-1082 | |
(217) 226-3133 | |
(217) 226-4311 |
Full Name | |
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Speciality | Family Medicine |
Location | 118 N. Walnut, Assumption, Illinois |
Authorized Official Name and Position | Lisa Bloemer (PRACTICE MANAGER) |
Authorized Official Contact | 2175626246 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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118 N. Walnut Assumption IL 62510-1082 Ph: (217) 226-3133 | 118 N. Walnut Assumption IL 62510-1082 Ph: (217) 226-3133 |
NPI Number | 1396106910 |
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Provider Enumeration Date | 03/09/2016 |
Last Update Date | 03/09/2016 |
Identifier | Type | State | Issuer |
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1396106910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |