Deaconess Il Clinic 17th St | |
2703 17th St Apt D Marion IL 62959-4912 | |
(618) 998-9200 | |
(618) 998-9700 |
Full Name | Deaconess Il Clinic 17th St |
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Speciality | Family Medicine |
Location | 2703 17th St Apt D, Marion, Illinois |
Authorized Official Name and Position | Kyle Dillman (SECRETARY / TREASURER) |
Authorized Official Contact | 8124507399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deaconess Il Clinic 17th St Po Box 34156 Belfast ME 04915-0619 Ph: (812) 450-6815 | Deaconess Il Clinic 17th St 2703 17th St Apt D Marion IL 62959-4912 Ph: (618) 998-9200 |
NPI Number | 1326765090 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 02/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326765090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Michael P Lawler Md S Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St Ste 3, Marion, IL 62959 Phone: 618-967-7660 | |
Dr. James T. Lawler M.d. S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St, Marion, IL 62959 Phone: 618-518-7700 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3411 Professional Park Dr, Marion, IL 62959 Phone: 618-969-8630 Fax: 618-969-8639 | |
Southern Spine & Rehab, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1616 W Main St Ste 200, Marion, IL 62959 Phone: 618-772-2999 | |
Marion Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 N Market St, Marion, IL 62959 Phone: 618-993-8913 Fax: 618-997-2867 | |
Simca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 305, Marion, IL 62959 Phone: 618-998-7000 | |
Deaconess Il Specialty Express 2700 Deyoung Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 W Deyoung St Ste F, Marion, IL 62959 Phone: 618-969-8633 Fax: 618-969-8639 |