Limitless Medical | |
4440 Broadway St Ste 12 Quincy IL 62305-9147 | |
(217) 242-0420 | |
Not Available |
Full Name | Limitless Medical |
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Speciality | General Practice |
Location | 4440 Broadway St Ste 12, Quincy, Illinois |
Authorized Official Name and Position | Justin Felsman (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2172420420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Limitless Medical 4440 Broadway St Ste 12 Quincy IL 62305-9147 Ph: (217) 242-0420 | Limitless Medical 4440 Broadway St Ste 12 Quincy IL 62305-9147 Ph: (217) 242-0420 |
NPI Number | 1760183560 |
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Provider Enumeration Date | 03/17/2023 |
Last Update Date | 03/17/2023 |
Medicare PECOS PAC ID | 1052777596 |
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Medicare Enrollment ID | O20230525001502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760183560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jennifer Sue Myers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770096513 PECOS PAC ID: 0244597037 Enrollment ID: I20230525001680 |
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