| Eastern Iowa Therapeutics P.c. | |
|
440 E Cherry St Vermillion SD 57069-1403 | |
| (605) 741-0003 | |
| (605) 202-6414 |
| Full Name | Eastern Iowa Therapeutics P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 440 E Cherry St, Vermillion, South Dakota |
| Authorized Official Name and Position | Juana Granados (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6305751980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Iowa Therapeutics P.c. 600 Oakmont Ln Ste 600c Westmont IL 60559-5548 Ph: (630) 575-6250 | Eastern Iowa Therapeutics P.c. 440 E Cherry St Vermillion SD 57069-1403 Ph: (605) 741-0003 |
| NPI Number | 1689137085 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689137085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Vermillion Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Plum St, Vermillion, SD 57069 Phone: 605-624-8643 |