| Marshall Internal Medicine, S.c. | |
|
110 N Main St Morton IL 61550-2024 | |
| (309) 266-8900 | |
| (309) 263-6788 |
| Full Name | Marshall Internal Medicine, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 N Main St, Morton, Illinois |
| Authorized Official Name and Position | Douglas J Marshall (PRESIDENT) |
| Authorized Official Contact | 3092668900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Internal Medicine, S.c. 110 N Main St Morton IL 61550-2024 Ph: (309) 266-8900 | Marshall Internal Medicine, S.c. 110 N Main St Morton IL 61550-2024 Ph: (309) 266-8900 |
| NPI Number | 1881715852 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881715852 | NPI | - | NPPES |
| 036105264 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036105264 (Illinois) | Primary |
A Balanced Life Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 W Edgewood Ct, Morton, IL 61550 Phone: 309-525-5012 | |
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