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1174 N Seminary St Galesburg IL 61401-2858 | |
(309) 647-0201 | |
(309) 647-8613 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1174 N Seminary St, Galesburg, Illinois |
Authorized Official Name and Position | Julie Reeder (VP OF FINANCE/CFO) |
Authorized Official Contact | 3096475240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Graham Medical Group 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 | 1174 N Seminary St Galesburg IL 61401-2858 Ph: (309) 647-0201 |
NPI Number | 1194462101 |
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Provider Enumeration Date | 05/19/2022 |
Last Update Date | 08/08/2024 |
Medicare PECOS PAC ID | 2769375021 |
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Medicare Enrollment ID | O20220713000303 |
Identifier | Type | State | Issuer |
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1194462101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 N Seminary St, Galesburg, IL 61401 Phone: 309-647-0201 | |
Knox Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, Galesburg, IL 61401 Phone: 309-343-3316 | |
Graham Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 E 3rd St, Galesburg, IL 61401 Phone: 309-647-0201 | |