| Mt Olive Family Practice Ctr | |
|
115 N Poplar St Mount Olive IL 62069-1613 | |
| (217) 999-4751 | |
| (217) 999-2317 |
| Full Name | Mt Olive Family Practice Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 115 N Poplar St, Mount Olive, Illinois |
| Authorized Official Name and Position | Bruce F Weber (DIRECTOR) |
| Authorized Official Contact | 2178394491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Olive Family Practice Ctr 115 N Poplar St Mount Olive IL 62069-1613 Ph: (217) 999-4751 | Mt Olive Family Practice Ctr 115 N Poplar St Mount Olive IL 62069-1613 Ph: (217) 999-4751 |
| NPI Number | 1477743342 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477743342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mt Olive Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 N Poplar St, Mount Olive, IL 62069 Phone: 217-999-4751 |