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201 E 8th St Gibson City IL 60936-1422 | |
(217) 784-4076 | |
(217) 784-2044 |
Full Name | |
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Speciality | Family Medicine |
Location | 201 E 8th St, Gibson City, Illinois |
Authorized Official Name and Position | Mike Meunier (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 2177842286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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201 E 8th St Gibson City IL 60936-1422 Ph: (217) 784-4076 | 201 E 8th St Gibson City IL 60936-1422 Ph: (217) 784-4076 |
NPI Number | 1114304045 |
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Provider Enumeration Date | 04/29/2015 |
Last Update Date | 10/08/2015 |
Identifier | Type | State | Issuer |
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1114304045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0000836 (Illinois) | Primary |
Neil R Nelson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8580 Fax: 217-784-8586 | |
Gibson City Clinic Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8148 Fax: 217-784-8160 | |