| Kirby Medical Group | |
|
1000 Medical Center Dr Monticello IL 61856-2116 | |
| (217) 762-2115 | |
| (217) 762-1502 |
| Full Name | Kirby Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Medical Center Dr, Monticello, Illinois |
| Authorized Official Name and Position | Steven D Tenhouse (CEO) |
| Authorized Official Contact | 2177621501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirby Medical Group 1000 Medical Center Dr Monticello IL 61856-2116 Ph: (217) 762-2115 | Kirby Medical Group 1000 Medical Center Dr Monticello IL 61856-2116 Ph: (217) 762-2115 |
| NPI Number | 1558527259 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 12/11/2020 |
| Medicare PECOS PAC ID | 6901791144 |
|---|---|
| Medicare Enrollment ID | O20090615000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558527259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0002758 (Illinois) | Primary |
Adams Enterprises Of East Central Illinois Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 N State St, Monticello, IL 61856 Phone: 217-762-8576 Fax: 217-762-8578 | |
Kirby Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Dr, Monticello, IL 61856 Phone: 217-762-2115 Fax: 217-762-1502 |