Graham Medical Group Lewistown | |
408 S. Main Street Lewistown IL 61542-1563 | |
(309) 547-9700 | |
(309) 547-5926 |
Full Name | Graham Medical Group Lewistown |
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Speciality | Clinic/Center |
Location | 408 S. Main Street, Lewistown, 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 Lewistown 180 S. Main Street Canton IL 61520-2608 Ph: (309) 647-0201 | Graham Medical Group Lewistown 408 S. Main Street Lewistown IL 61542-1563 Ph: (309) 547-9700 |
NPI Number | 1750527172 |
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Provider Enumeration Date | 01/07/2009 |
Last Update Date | 10/23/2018 |
Medicare PECOS PAC ID | 2769375021 |
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Medicare Enrollment ID | O20080805000190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750527172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Body In Balance Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 S Main St, Lewistown, IL 61542 Phone: 309-357-9337 |