Hshs Medical Group Family Medicine | |
516 S Chestnut St Wenona IL 61377-7526 | |
(815) 853-4402 | |
(815) 853-4200 |
Full Name | Hshs Medical Group Family Medicine |
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Speciality | Clinic/center - Rural Health |
Location | 516 S Chestnut St, Wenona, Illinois |
Authorized Official Name and Position | Melinda Clark (CEO) |
Authorized Official Contact | 2174929696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hshs Medical Group Family Medicine 516 S Chestnut St Wenona IL 61377-7526 Ph: (815) 853-4402 | Hshs Medical Group Family Medicine 516 S Chestnut St Wenona IL 61377-7526 Ph: (815) 853-4402 |
NPI Number | 1316358187 |
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Provider Enumeration Date | 05/15/2014 |
Last Update Date | 05/27/2014 |
Identifier | Type | State | Issuer |
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1316358187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wenona Health Center S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 S. Chestnut St, Wenona, IL 61377 Phone: 815-853-4402 |