| Ottawa Medical Center, Pc | |
|
1614 E Norris Dr Ottawa IL 61350-3681 | |
| (815) 433-1010 | |
| (815) 433-0067 |
| Full Name | Ottawa Medical Center, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1614 E Norris Dr, Ottawa, Illinois |
| Authorized Official Name and Position | Jill L Lowe (ACCOUNTING CLERK) |
| Authorized Official Contact | 8154313265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa Medical Center, Pc 1614 E Norris Dr Ottawa IL 61350-3681 Ph: (815) 433-1010 | Ottawa Medical Center, Pc 1614 E Norris Dr Ottawa IL 61350-3681 Ph: (815) 433-1010 |
| NPI Number | 1184649410 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184649410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 042-000502 (Illinois) | Primary |
Ottawa Regional Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-1010 Fax: 815-433-0067 | |
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