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1325 W Whittaker St Suite 3 Salem IL 62881-2007 | |
(618) 548-2400 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1325 W Whittaker St, Salem, Illinois |
Authorized Official Name and Position | Steven N Scott (OPERATIONS DIRECTOR) |
Authorized Official Contact | 6188422491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | 1325 W Whittaker St Suite 3 Salem IL 62881-2007 Ph: (618) 548-2400 |
NPI Number | 1285010272 |
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Provider Enumeration Date | 08/03/2015 |
Last Update Date | 03/30/2016 |
Identifier | Type | State | Issuer |
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1285010272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Illinois) | Primary |
Anton Dubrick Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Schwartz St, Salem, IL 62881 Phone: 618-740-4667 Fax: 618-740-1482 | |