| Foundation Health And Wellness Pllc | |
|
301 W Virginia Ave Effingham IL 62401-2255 | |
| (217) 259-7536 | |
| Not Available |
| Full Name | Foundation Health And Wellness Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 W Virginia Ave, Effingham, Illinois |
| Authorized Official Name and Position | Michele Hartke (OWNER) |
| Authorized Official Contact | 2172597536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Health And Wellness Pllc 301 W Virginia Ave Effingham IL 62401-2255 Ph: (217) 259-7536 | Foundation Health And Wellness Pllc 301 W Virginia Ave Effingham IL 62401-2255 Ph: (217) 259-7536 |
| NPI Number | 1730831470 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Medicare PECOS PAC ID | 1355736612 |
|---|---|
| Medicare Enrollment ID | O20220323001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730831470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michele K Hartke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609031772 PECOS PAC ID: 0547337263 Enrollment ID: I20080923000227 |
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