| Family Health Associates Sc | |
|
60 Regency Pl Millstadt IL 62260-2210 | |
| (618) 476-3373 | |
| (618) 476-1890 |
| Full Name | Family Health Associates Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 60 Regency Pl, Millstadt, Illinois |
| Authorized Official Name and Position | Carla Elaine Samson (OWNER) |
| Authorized Official Contact | 6184763373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Associates Sc 60 Regency Pl Millstadt IL 62260-2210 Ph: (618) 476-3373 | Family Health Associates Sc 60 Regency Pl Millstadt IL 62260-2210 Ph: (618) 476-3373 |
| NPI Number | 1932421047 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932421047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036062094 (Illinois) | Primary |
Millstadt Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60 Regency Pl, Millstadt, IL 62260 Phone: 618-476-9177 Fax: 618-476-1890 |