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512 N Maple St Effingham IL 62401-2005 | |
(217) 347-7030 | |
(217) 347-7049 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 512 N Maple St, Effingham, Illinois |
Authorized Official Name and Position | Eugene P. Dust (PRESIDENT OF LLC) |
Authorized Official Contact | 2173475917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1207 Network Centre Dr Ste 3 Effingham IL 62401-2186 Ph: (217) 347-2707 | 512 N Maple St Effingham IL 62401-2005 Ph: (217) 347-7030 |
NPI Number | 1841489200 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 06/27/2017 |
Identifier | Type | State | Issuer |
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1841489200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Paul D. Oltman, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Temple Ave, Suite 204, Effingham, IL 62401 Phone: 217-347-7776 Fax: 217-347-7526 | |
Baggett Chiropractic Care, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Fayette Ave, Effingham, IL 62401 Phone: 217-342-9700 Fax: 217-342-9710 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-347-1211 | |