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1 Huskie Circle Machesney Park IL 61115 | |
(866) 434-3255 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1 Huskie Circle, Machesney Park, Illinois |
Authorized Official Name and Position | Jeff Wells (CEO) |
Authorized Official Contact | 8664343255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 W Market St Ste 2900 Indianapolis IN 46204-2964 Ph: (866) 434-3255 | 1 Huskie Circle Machesney Park IL 61115 Ph: (866) 434-3255 |
NPI Number | 1346092178 |
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Provider Enumeration Date | 04/04/2024 |
Last Update Date | 07/28/2024 |
Identifier | Type | State | Issuer |
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1346092178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |