| Jose P Parcon M D S C | |
|
727 9th St Carrollton IL 62016-1427 | |
| (217) 942-6984 | |
| Not Available |
| Full Name | Jose P Parcon M D S C |
|---|---|
| Speciality | Family Medicine |
| Location | 727 9th St, Carrollton, Illinois |
| Authorized Official Name and Position | Teresita Parcon (OFFICE MANAGER) |
| Authorized Official Contact | 2179426984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose P Parcon M D S C 727 9th St Carrollton IL 62016-1427 Ph: (217) 942-6984 | Jose P Parcon M D S C 727 9th St Carrollton IL 62016-1427 Ph: (217) 942-6984 |
| NPI Number | 1215160197 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 01/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215160197 | NPI | - | NPPES |
| 036048798 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036048798 (Illinois) | Primary |
County Of Greene Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 5th St, Carrollton, IL 62016 Phone: 217-942-6961 | |