<unavail> in East Saint Louis, IL

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in East Saint Louis, Illinois. The current practice location for is 3939 Caseyville Ave, East Saint Louis, Illinois. For appointments, you can reach them via phone at (618) 482-4562. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1831254234. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (618) 482-4562.

Contact Information


	3939 Caseyville Ave East Saint Louis IL 62204-2448
	(618) 482-4562
	(618) 482-4930

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	3939 Caseyville Ave, East Saint Louis, Illinois
Authorized Official Name and Position	Larry Mcculley (CEO)
Authorized Official Contact	6183320694
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303	3939 Caseyville Ave East Saint Louis IL 62204-2448 Ph: (618) 482-4562

NPI Details:

NPI Number	1831254234
Provider Enumeration Date	12/26/2006
Last Update Date	02/25/2013

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831254234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(Illinois)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363LS0200X	Nurse Practitioner - School	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in East Saint Louis, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0207 Fax: 618-271-9617
Osh-il Physicians Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2420 State St, East Saint Louis, IL 62205 Phone: 618-318-8809 Fax: 618-615-4205
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905
Southern Illinois Regional Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1736 Kingshighway, East Saint Louis, IL 62204 Phone: 618-874-3120 Fax: 618-215-4048
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 State Route 203, Suite 1, East Saint Louis, IL 62201 Phone: 941-225-2520 Fax: 888-860-8609
Kenneth Hall Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East Saint Louis, IL 62201 Phone: 618-482-7044 Fax: 618-482-7018

- Primary Care in East Saint Louis, IL