| Family Practice Associates, Pc | |
|
509 Hamacher St Suite 102 Waterloo IL 62298-1592 | |
| (618) 939-3939 | |
| (618) 939-3941 |
| Full Name | Family Practice Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 509 Hamacher St, Waterloo, Illinois |
| Authorized Official Name and Position | Jay Pickett (OWNER) |
| Authorized Official Contact | 6189393939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates, Pc 509 Hamacher St Suite 102 Waterloo IL 62298-1592 Ph: (618) 939-3939 | Family Practice Associates, Pc 509 Hamacher St Suite 102 Waterloo IL 62298-1592 Ph: (618) 939-3939 |
| NPI Number | 1861688541 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861688541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036081291 (Illinois) | Primary |
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