| Edward F Mckenney D O S C | |
|
1471 Keokuk St Hamilton IL 62341-1135 | |
| (217) 847-3383 | |
| (217) 847-2832 |
| Full Name | Edward F Mckenney D O S C |
|---|---|
| Speciality | Family Medicine |
| Location | 1471 Keokuk St, Hamilton, Illinois |
| Authorized Official Name and Position | Edward F Mckenney (PRESIDENT) |
| Authorized Official Contact | 2178473383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward F Mckenney D O S C 1471 Keokuk St Hamilton IL 62341-1135 Ph: (217) 847-3383 | Edward F Mckenney D O S C 1471 Keokuk St Hamilton IL 62341-1135 Ph: (217) 847-3383 |
| NPI Number | 1225330087 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 02/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225330087 | NPI | - | NPPES |
| 036058009 | Medicaid | IL | |
| IL4126 | Other | IL | GROUP PTAN |
| IL4126001 | Other | IL | INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036058009 (Illinois) | Primary |
Gaps Health Il, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1599 Keokuk St, Hamilton, IL 62341 Phone: 217-847-3931 Fax: 217-847-2067 | |
Memorial Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Broadway St, Hamilton, IL 62341 Phone: 217-551-3100 Fax: 217-551-3024 | |
Tri-state Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Broadway St, Hamilton, IL 62341 Phone: 217-847-2112 Fax: 319-753-2301 |