| |
9721 N Alpine Rd Machesney Park IL 61115-1664 | |
(800) 589-6070 | |
(309) 683-5969 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 9721 N Alpine Rd, Machesney Park, Illinois |
Authorized Official Name and Position | Robert C Sehring (CEO) |
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 | 9721 N Alpine Rd Machesney Park IL 61115-1664 Ph: (800) 589-6070 |
NPI Number | 1164475059 |
---|---|
Provider Enumeration Date | 05/19/2006 |
Last Update Date | 03/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164475059 | NPI | - | NPPES |
10123444 | Other | IL | BLUE CROSS |