Full Name | |
---|---|
Speciality | Family Medicine |
Location | 327 Edward St, Henry, Illinois |
Authorized Official Name and Position | Robert C Sehring (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | 327 Edward St Henry IL 61537-1539 Ph: (309) 364-2002 |
NPI Number | 1982311627 |
---|---|
Provider Enumeration Date | 11/02/2022 |
Last Update Date | 03/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982311627 | NPI | - | NPPES |
999 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
David A. Forbes, Dc,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Edward St, Henry, IL 61537 Phone: 309-364-3398 Fax: 309-364-2059 | |