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1306 Maple St Eldorado IL 62930-1662 | |
(618) 297-9665 | |
(618) 297-9638 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1306 Maple St, Eldorado, Illinois |
Authorized Official Name and Position | Clifford E Morris (BOARD CHAIRMAN) |
Authorized Official Contact | 6182733361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1306 Maple St Eldorado IL 62930-1662 Ph: (618) 297-9665 | 1306 Maple St Eldorado IL 62930-1662 Ph: (618) 297-9665 |
NPI Number | 1457586620 |
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Provider Enumeration Date | 05/18/2009 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 1355389453 |
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Medicare Enrollment ID | O20091008000117 |
Identifier | Type | State | Issuer |
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1457586620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Albert G Bledig Md Chartered Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Locust St, Eldorado, IL 62930 Phone: 618-273-5511 Fax: 618-273-3322 | |
Peterson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 4th St, Eldorado, IL 62930 Phone: 618-273-2100 Fax: 618-273-2110 |