Gibson City Clinic Sc | |
222 N Sangamon Ave Gibson City IL 60936-1345 | |
(217) 784-8148 | |
(217) 784-8160 |
Full Name | Gibson City Clinic Sc |
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Speciality | Clinic/center |
Location | 222 N Sangamon Ave, Gibson City, Illinois |
Authorized Official Name and Position | David Hagan (PRESIDENT) |
Authorized Official Contact | 2177848148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gibson City Clinic Sc 222 N Sangamon Ave Gibson City IL 60936-1345 Ph: (217) 784-8148 | Gibson City Clinic Sc 222 N Sangamon Ave Gibson City IL 60936-1345 Ph: (217) 784-8148 |
NPI Number | 1386903946 |
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Provider Enumeration Date | 05/16/2012 |
Last Update Date | 05/16/2012 |
Identifier | Type | State | Issuer |
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1386903946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 036-066538 (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 | |