Family Practice Associates Of Macomb Ltd | |
505 E Grant St Suite 110 Family Practice Associates Of Macomb Ltd Macomb IL 61455-3352 | |
(309) 833-1733 | |
(309) 836-2369 |
Full Name | Family Practice Associates Of Macomb Ltd |
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Speciality | Family Medicine |
Location | 505 E Grant St, Macomb, Illinois |
Authorized Official Name and Position | Jack Lee Mcpherson (PRESIDENT) |
Authorized Official Contact | 3098331733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice Associates Of Macomb Ltd 505 E Grant St Suite 110 Family Practice Associates Of Macomb Ltd Macomb IL 61455-3352 Ph: (309) 833-1733 | Family Practice Associates Of Macomb Ltd 505 E Grant St Suite 110 Family Practice Associates Of Macomb Ltd Macomb IL 61455-3352 Ph: (309) 833-1733 |
NPI Number | 1154306397 |
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Provider Enumeration Date | 12/09/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1154306397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
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