| Family Medical Center Of Chatham, Llc | |
|
101 E Plummer Blvd Chatham IL 62629-8047 | |
| (217) 483-3487 | |
| (217) 483-8150 |
| Full Name | Family Medical Center Of Chatham, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E Plummer Blvd, Chatham, Illinois |
| Authorized Official Name and Position | J. Travis Dowell (VICE PRESIDENT HCNA AND OPERATIONS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Of Chatham, Llc Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Family Medical Center Of Chatham, Llc 101 E Plummer Blvd Chatham IL 62629-8047 Ph: (217) 483-3487 |
| NPI Number | 1992956528 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992956528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Family Medical Center-chatham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150 |