Litchfield Family Practice Center | |
1285 Franciscan Dr Litchfield IL 62056-1778 | |
(217) 324-6127 | |
(217) 324-5959 |
Full Name | Litchfield Family Practice Center |
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Speciality | Family Medicine |
Location | 1285 Franciscan Dr, Litchfield, Illinois |
Authorized Official Name and Position | Roger A Wujek (MANAGING PARTNER) |
Authorized Official Contact | 2173246127 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Litchfield Family Practice Center 1285 Franciscan Dr Litchfield IL 62056-1778 Ph: (217) 324-6127 | Litchfield Family Practice Center 1285 Franciscan Dr Litchfield IL 62056-1778 Ph: (217) 324-6127 |
NPI Number | 1235189499 |
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Provider Enumeration Date | 05/10/2006 |
Last Update Date | 10/21/2010 |
Medicare PECOS PAC ID | 2466362819 |
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Medicare Enrollment ID | O20030522000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235189499 | NPI | - | NPPES |
CF4161 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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