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5220 S 6th Street Rd Suite 1200 Springfield IL 62703-5735 | |
| (217) 545-8000 | |
| (217) 747-1351 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5220 S 6th Street Rd, Springfield, Illinois |
| Authorized Official Name and Position | Janet R Albers (DIRECTOR) |
| Authorized Official Contact | 2177578100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 19670 Springfield IL 62794-9670 Ph: (217) 545-8000 | 5220 S 6th Street Rd Suite 1200 Springfield IL 62703-5735 Ph: (217) 545-8000 |
| NPI Number | 1922350099 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922350099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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