Germantown Hills Medical Center Sc | |
107 Elizabeth Pointe Dr Germantown Hills IL 61548-9471 | |
(309) 383-2323 | |
(309) 383-2367 |
Full Name | Germantown Hills Medical Center Sc |
---|---|
Speciality | Family Medicine |
Location | 107 Elizabeth Pointe Dr, Germantown Hills, Illinois |
Authorized Official Name and Position | John Christopher Kell (PRESIDENT) |
Authorized Official Contact | 3093832323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Germantown Hills Medical Center Sc 107 Elizabeth Pointe Dr Germantown Hills IL 61548-9471 Ph: (309) 383-2323 | Germantown Hills Medical Center Sc 107 Elizabeth Pointe Dr Germantown Hills IL 61548-9471 Ph: (309) 383-2323 |
NPI Number | 1225283849 |
---|---|
Provider Enumeration Date | 11/24/2008 |
Last Update Date | 01/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225283849 | NPI | - | NPPES |
036-100702 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036100702 (Illinois) | Primary |