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215 N Broadway Ave Salem IL 62881-1511 | |
(618) 548-1700 | |
(618) 548-1706 |
Full Name | |
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Speciality | Clinic/center |
Location | 215 N Broadway Ave, Salem, Illinois |
Authorized Official Name and Position | Toney E Means (PRESIDENT) |
Authorized Official Contact | 7132788710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 421472 Houston TX 77242-1472 Ph: (713) 278-8710 | 215 N Broadway Ave Salem IL 62881-1511 Ph: (618) 548-1700 |
NPI Number | 1043408743 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1043408743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Texas) | Primary |
Anton Dubrick Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Schwartz St, Salem, IL 62881 Phone: 618-740-4667 Fax: 618-740-1482 | |