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1300 Us Highway 45 N Eldorado IL 62930-3765 | |
(618) 297-9660 | |
(618) 273-2110 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1300 Us Highway 45 N, Eldorado, Illinois |
Authorized Official Name and Position | Clifford E Morris (BOARD CHAIRMAN) |
Authorized Official Contact | 6182733361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1300 Us Highway 45 N Eldorado IL 62930-3765 Ph: (618) 297-9660 | 1300 Us Highway 45 N Eldorado IL 62930-3765 Ph: (618) 297-9660 |
NPI Number | 1700011046 |
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Provider Enumeration Date | 05/15/2009 |
Last Update Date | 12/10/2020 |
Medicare PECOS PAC ID | 1355389453 |
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Medicare Enrollment ID | O20091008000501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700011046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Albert G Bledig Md Chartered Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Locust St, Eldorado, IL 62930 Phone: 618-273-5511 Fax: 618-273-3322 | |
Peterson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 4th St, Eldorado, IL 62930 Phone: 618-273-2100 Fax: 618-273-2110 |