| Imh Multi Specialty Physician Group | |
|
200 Laird Ln Watseka IL 60970-7568 | |
| (815) 432-5841 | |
| Not Available |
| Full Name | Imh Multi Specialty Physician Group |
|---|---|
| Speciality | General Practice |
| Location | 200 Laird Ln, Watseka, Illinois |
| Authorized Official Name and Position | Dennis Wittenborn (BOARD CHAIRMAN) |
| Authorized Official Contact | 8154325841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imh Multi Specialty Physician Group 200 Laird Ln Watseka IL 60970-7568 Ph: (815) 432-5841 | Imh Multi Specialty Physician Group 200 Laird Ln Watseka IL 60970-7568 Ph: (815) 432-5841 |
| NPI Number | 1134445851 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134445851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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