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200 Laird Ln Watseka IL 60970-7568 | |
(815) 432-5411 | |
(815) 432-3955 |
Full Name | |
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Speciality | Clinic/center |
Location | 200 Laird Ln, Watseka, Illinois |
Authorized Official Name and Position | Chuck Bohlmann (PRESIDENT/CEO) |
Authorized Official Contact | 8154327736 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Laird Ln Watseka IL 60970-7568 Ph: (815) 432-5411 | 200 Laird Ln Watseka IL 60970-7568 Ph: (815) 432-5411 |
NPI Number | 1790889194 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 09/19/2014 |
Identifier | Type | State | Issuer |
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1790889194 | NPI | - | NPPES |
Gonzalo T Florido Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 S 10th St, Watseka, IL 60970 Phone: 815-432-6744 | |