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34 E Jones St Milford IL 60953-1046 | |
(815) 889-4241 | |
(815) 889-4244 |
Full Name | |
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Speciality | Clinic/Center |
Location | 34 E Jones St, Milford, Illinois |
Authorized Official Name and Position | Timothy L Smith (COO) |
Authorized Official Contact | 8154327967 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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34 E Jones St Milford IL 60953-1046 Ph: (815) 889-4241 | 34 E Jones St Milford IL 60953-1046 Ph: (815) 889-4241 |
NPI Number | 1578580346 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 01/17/2017 |
Medicare PECOS PAC ID | 4385551258 |
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Medicare Enrollment ID | O20050110000311 |
Identifier | Type | State | Issuer |
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1578580346 | NPI | - | NPPES |
0003815085 | Other | IL | BC/BS OF IL |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |