|
| |
|
1220 E. Tremont Suite A Hillsboro IL 62049-1509 | |
| (217) 532-9471 | |
| (217) 532-9476 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1220 E. Tremont, Hillsboro, Illinois |
| Authorized Official Name and Position | Andrew Watson (CFO) |
| Authorized Official Contact | 2174925806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1220 E. Tremont Suite A Hillsboro IL 62049-1509 Ph: (217) 532-9471 | 1220 E. Tremont Suite A Hillsboro IL 62049-1509 Ph: (217) 532-9471 |
| NPI Number | 1417906959 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417906959 | NPI | - | NPPES |
| 371201757001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 36046053 (Illinois) | Primary |
Brian J Cady Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 E Tremont St, Hillsboro, IL 62049 Phone: 217-532-2320 Fax: 217-532-3857 | |