| Gypsum Medical Associates Of California Pc | |
|
4805 Prime Pkwy Mchenry IL 60050-7002 | |
| (815) 363-9500 | |
| Not Available |
| Full Name | Gypsum Medical Associates Of California Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4805 Prime Pkwy, Mchenry, Illinois |
| Authorized Official Name and Position | Thomas Glimp (PRESIDENT) |
| Authorized Official Contact | 8153639500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gypsum Medical Associates Of California Pc 4805 Prime Pkwy Mchenry IL 60050-7002 Ph: (815) 363-9500 | Gypsum Medical Associates Of California Pc 4805 Prime Pkwy Mchenry IL 60050-7002 Ph: (815) 363-9500 |
| NPI Number | 1194270926 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194270926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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