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1401 E 12th St Ste 400 Mendota IL 61342-9216 | |
(815) 538-7200 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1401 E 12th St Ste 400, Mendota, Illinois |
Authorized Official Name and Position | Robert C. Sehring (CEO OSF HEALTHCARE SYSTEM) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | 1401 E 12th St Ste 400 Mendota IL 61342-9216 Ph: (815) 538-7200 |
NPI Number | 1043872781 |
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Provider Enumeration Date | 07/02/2019 |
Last Update Date | 03/18/2024 |
Identifier | Type | State | Issuer |
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1043872781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Health Partnership Of Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1009 Main St, Mendota, IL 61342 Phone: 815-539-6124 Fax: 815-539-9015 | |
Associated Physicians, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 E 12th St, Suite 300, Mendota, IL 61342 Phone: 815-539-3141 Fax: 815-487-4901 | |
Dr. Megan's Healthcare Ministries Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Meriden St, Mendota, IL 61342 Phone: 815-539-3739 Fax: 815-539-3753 | |