| Family Medical Center Im | |
|
200 Richmond Ave E Mattoon IL 61938-4652 | |
| (217) 235-5471 | |
| Not Available |
| Full Name | Family Medical Center Im |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 200 Richmond Ave E, Mattoon, Illinois |
| Authorized Official Name and Position | Dennis Pluard (CFO) |
| Authorized Official Contact | 2172582591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Im 1000 Health Center Dr Mattoon IL 61938-9253 Ph: () - | Family Medical Center Im 200 Richmond Ave E Mattoon IL 61938-4652 Ph: (217) 235-5471 |
| NPI Number | 1043338189 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043338189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
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