| O'fallon Family Medicine Center | |
|
1512 N Green Mount Rd Suite 108 O Fallon IL 62269-1953 | |
| (618) 624-5510 | |
| (618) 624-5525 |
| Full Name | O'fallon Family Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1512 N Green Mount Rd, O Fallon, Illinois |
| Authorized Official Name and Position | Mark D Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'fallon Family Medicine Center 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 624-5510 | O'fallon Family Medicine Center 1512 N Green Mount Rd Suite 108 O Fallon IL 62269-1953 Ph: (618) 624-5510 |
| NPI Number | 1104849165 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104849165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Eldermed Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-222-4703 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
New Heights Integrated Health Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Regency Park Ste 7, O Fallon, IL 62269 Phone: 618-622-3322 Fax: 618-622-2229 | |
Appletree Therapy Services, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 N Main St, Suite 5, O Fallon, IL 62269 Phone: 618-690-0068 | |
Haven Chiropractic Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Willow Dr Ste A, O Fallon, IL 62269 Phone: 618-799-0690 | |
The Caring Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Insight Ave Ste 300, O Fallon, IL 62269 Phone: 618-607-0086 Fax: 618-607-0042 |