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270 Maple Summit Rd Mcdow Bldg Jerseyville IL 62052-2004 | |
(618) 498-7108 | |
(618) 498-7919 |
Full Name | |
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Speciality | Clinic/Center |
Location | 270 Maple Summit Rd, Jerseyville, Illinois |
Authorized Official Name and Position | Beth A King (CFO) |
Authorized Official Contact | 6184988350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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390 Maple Summit Rd Jerseyville IL 62052-2000 Ph: (618) 498-7518 | 270 Maple Summit Rd Mcdow Bldg Jerseyville IL 62052-2004 Ph: (618) 498-7108 |
NPI Number | 1659750818 |
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Provider Enumeration Date | 05/21/2015 |
Last Update Date | 07/14/2023 |
Medicare PECOS PAC ID | 4587650445 |
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Medicare Enrollment ID | O20150804005439 |
Identifier | Type | State | Issuer |
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1659750818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0001156 (Illinois) | Secondary |
261QR1300X | Clinic/center - Rural Health | 0001156 (Illinois) | Primary |
Robert D Childers Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Maple Summit Rd, Ste 300, Jerseyville, IL 62052 Phone: 618-498-8470 Fax: 618-498-8488 | |
Medical Associates Of Jerseyville, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Maple Summit Rd, Mcdow Building, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 | |
S S Kurella Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Edgewood Ave, Jerseyville, IL 62052 Phone: 618-498-4606 |