| Family Physicians Of Madison County Ltd | |
|
3 Junction Dr W Glen Carbon IL 62034-2916 | |
| (618) 288-5088 | |
| Not Available |
| Full Name | Family Physicians Of Madison County Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Junction Dr W, Glen Carbon, Illinois |
| Authorized Official Name and Position | Raymond K Weber (PRESIDENT) |
| Authorized Official Contact | 6182885088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Of Madison County Ltd 3 Junction Dr W Glen Carbon IL 62034-2916 Ph: (618) 288-5088 | Family Physicians Of Madison County Ltd 3 Junction Dr W Glen Carbon IL 62034-2916 Ph: (618) 288-5088 |
| NPI Number | 1093711905 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093711905 | NPI | - | NPPES |
| 6015373 | Other | IL | BLUE SHIELD |
| 080021119 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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