Metro East Senior Care Llc | |
5 Meadowlark Ct Collinsville IL 62234-6818 | |
(618) 406-7165 | |
(618) 939-9836 |
Full Name | Metro East Senior Care Llc |
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Speciality | Internal Medicine |
Location | 5 Meadowlark Ct, Collinsville, Illinois |
Authorized Official Name and Position | Louis Gary (PRESIDENT) |
Authorized Official Contact | 6184067165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metro East Senior Care Llc Po Box 651 Columbia IL 62236-0651 Ph: (314) 852-8542 | Metro East Senior Care Llc 5 Meadowlark Ct Collinsville IL 62234-6818 Ph: (618) 406-7165 |
NPI Number | 1003456070 |
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Provider Enumeration Date | 01/08/2020 |
Last Update Date | 01/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003456070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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