| Osbec Medical Of Southern Illinois, Llc | |
|
2504 Commerce Highland IL 62249-0017 | |
| (618) 651-8333 | |
| (618) 651-8444 |
| Full Name | Osbec Medical Of Southern Illinois, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2504 Commerce, Highland, Illinois |
| Authorized Official Name and Position | Oscar F Florendo (OWNER) |
| Authorized Official Contact | 6186518333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osbec Medical Of Southern Illinois, Llc 2504 Commerce Highland IL 62249-0017 Ph: (618) 651-8333 | Osbec Medical Of Southern Illinois, Llc 2504 Commerce Highland IL 62249-0017 Ph: (618) 651-8333 |
| NPI Number | 1063454312 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063454312 | NPI | - | NPPES |
| 036096955 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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