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108 W Main St Mt Sterling IL 62353-1224 | |
(217) 773-6060 | |
(217) 436-6762 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 108 W Main St, Mt Sterling, Illinois |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 6154686270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 108 W Main St Mt Sterling IL 62353-1224 Ph: (217) 773-6060 |
NPI Number | 1205300159 |
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Provider Enumeration Date | 01/14/2019 |
Last Update Date | 09/20/2023 |
Identifier | Type | State | Issuer |
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1205300159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |