| Moweaqua Family Practice Center, Ltd | |
|
620 N Putnam St Moweaqua IL 62550-9418 | |
| (217) 768-3884 | |
| (217) 768-3811 |
| Full Name | Moweaqua Family Practice Center, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 620 N Putnam St, Moweaqua, Illinois |
| Authorized Official Name and Position | Alan Dale Bilyeu (PRESIDENT) |
| Authorized Official Contact | 2177683884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moweaqua Family Practice Center, Ltd 620 N Putnam St Moweaqua IL 62550-9418 Ph: (217) 768-3884 | Moweaqua Family Practice Center, Ltd 620 N Putnam St Moweaqua IL 62550-9418 Ph: (217) 768-3884 |
| NPI Number | 1003988189 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003988189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
Springfield Clinic Moweaqua Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 N Putnam St Ste A, Moweaqua, IL 62550 Phone: 217-768-3884 |