| Ojv Inc. | |
|
4936 Laverna Rd Springfield IL 62707-9797 | |
| (217) 523-4747 | |
| Not Available |
| Full Name | Ojv Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4936 Laverna Rd, Springfield, Illinois |
| Authorized Official Name and Position | Frank L Mikell (DIRECTOR) |
| Authorized Official Contact | 2175234747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ojv Inc. 4936 Laverna Rd Springfield IL 62707-9797 Ph: (217) 523-4747 | Ojv Inc. 4936 Laverna Rd Springfield IL 62707-9797 Ph: (217) 523-4747 |
| NPI Number | 1609218510 |
|---|---|
| Provider Enumeration Date | 07/19/2013 |
| Last Update Date | 07/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609218510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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