| Medical Group Of Macomb, Llc | |
|
505 E Grant St Ste 103 Macomb IL 61455-3308 | |
| (309) 833-3536 | |
| (309) 836-5729 |
| Full Name | Medical Group Of Macomb, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 E Grant St Ste 103, Macomb, Illinois |
| Authorized Official Name and Position | David Miller (PRESIDENT) |
| Authorized Official Contact | 3098333536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of Macomb, Llc Po Box 556 Macomb IL 61455-0556 Ph: (309) 833-3536 | Medical Group Of Macomb, Llc 505 E Grant St Ste 103 Macomb IL 61455-3308 Ph: (309) 833-3536 |
| NPI Number | 1356430664 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356430664 | NPI | - | NPPES |
| 110247080 | Other | IL | RAILROAD MEDICARE |
| 5532005 | Other | IL | BLUE CROSS/BLUE SHIELD IL |
| DG6820 | Other | IL | RAILROAD MEDICARE |
| 036104354 | Medicaid | IL | |
| 036111319 | Medicaid | IL | |
| 067033 | Other | IL | HEALTH ALLIANCE |
| 095260 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 208000000X | Pediatrics | (Illinois) | Secondary |
Mcdonough Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St, Suite 202, Macomb, IL 61455 Phone: 309-833-4101 Fax: 309-836-1525 | |
Macomb Internal Medicine Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Grant St, Ste 111, Macomb, IL 61455 Phone: 309-837-9926 Fax: 309-833-1417 | |
Family Practice Associates Of Macomb Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Grant St, Suite 110 Family Practice Associates Of Macomb Ltd, Macomb, IL 61455 Phone: 309-833-1733 Fax: 309-836-2369 | |
Mcdonough County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 E Grant St Ste 213, Macomb, IL 61455 Phone: 309-837-6937 Fax: 309-837-1979 | |
Mdh Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E Jackson St, Macomb, IL 61455 Phone: 309-833-4101 | |
Mcdonough Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Grant St, Macomb, IL 61455 Phone: 309-837-2414 Fax: 309-837-2170 |