Pc Associates, Llc | |
325 S Main St Dupo IL 62239-1325 | |
(618) 286-5251 | |
(618) 286-5677 |
Full Name | Pc Associates, Llc |
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Speciality | Family Medicine |
Location | 325 S Main St, Dupo, Illinois |
Authorized Official Name and Position | James B Davis (VP MEDICAL STAFF SERVICES) |
Authorized Official Contact | 6182576302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pc Associates, Llc Po Box 23830 Belleville IL 62223-0830 Ph: (618) 222-9999 | Pc Associates, Llc 325 S Main St Dupo IL 62239-1325 Ph: (618) 286-5251 |
NPI Number | 1437462637 |
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Provider Enumeration Date | 07/16/2010 |
Last Update Date | 07/16/2010 |
Identifier | Type | State | Issuer |
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1437462637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southern Illinois Healthcare Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Louisa Ave, Dupo, IL 62239 Phone: 618-332-0953 |