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0n150 Winfield Rd Winfield IL 60190 | |
| (630) 665-1550 | |
| (630) 665-3510 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 0n150 Winfield Rd, Winfield, Illinois |
| Authorized Official Name and Position | Jeffrey Taylor Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 6306651550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
0n150 Winfield Rd Winfield IL 60190 Ph: (630) 665-1550 | 0n150 Winfield Rd Winfield IL 60190 Ph: (630) 665-1550 |
| NPI Number | 1407941503 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407941503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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