Graham Medical Group Macomb | |
1630 E Jackson St Macomb IL 61455-2530 | |
(309) 647-0201 | |
Not Available |
Full Name | Graham Medical Group Macomb |
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Speciality | Family Medicine |
Location | 1630 E Jackson St, Macomb, Illinois |
Authorized Official Name and Position | Julie Reeder (VICE PRESIDENT OF FINANCE & CFO) |
Authorized Official Contact | 3096475240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Graham Medical Group Macomb 180 S Main St Canton IL 61520-2608 Ph: (309) 647-0201 | Graham Medical Group Macomb 1630 E Jackson St Macomb IL 61455-2530 Ph: (309) 647-0201 |
NPI Number | 1780321117 |
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Provider Enumeration Date | 05/17/2022 |
Last Update Date | 03/28/2023 |
Identifier | Type | State | Issuer |
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1780321117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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