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135 W Station St Saint Anne IL 60964-7251 | |
(815) 432-5841 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 135 W Station St, Saint Anne, Illinois |
Authorized Official Name and Position | Michelle Fox (DIRECTOR MEDICAL STAFF & IT SVCS) |
Authorized Official Contact | 8154325841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 E Fairman Ave Watseka IL 60970-1644 Ph: (815) 432-7775 | 135 W Station St Saint Anne IL 60964-7251 Ph: (815) 432-5841 |
NPI Number | 1215650528 |
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Provider Enumeration Date | 09/21/2022 |
Last Update Date | 05/26/2023 |
Identifier | Type | State | Issuer |
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1215650528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |