| Illini Family Medicine | |
|
201 N Cummings Ln Washington IL 61571-2181 | |
| (309) 444-3627 | |
| (309) 444-7158 |
| Full Name | Illini Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 201 N Cummings Ln, Washington, Illinois |
| Authorized Official Name and Position | Lee T Kinsinger (PRESIDENT) |
| Authorized Official Contact | 3094443627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illini Family Medicine 201 N Cummings Ln Washington IL 61571-2181 Ph: (309) 444-3627 | Illini Family Medicine 201 N Cummings Ln Washington IL 61571-2181 Ph: (309) 444-3627 |
| NPI Number | 1104830520 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104830520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ryan D. Schmidgall, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Valley Forge Rd, Washington, IL 61571 Phone: 309-444-8447 Fax: 309-444-2003 | |
Washington Christian Village Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Newcastle Rd, Washington, IL 61571 Phone: 309-444-3161 Fax: 309-444-7397 |