| |
2128 N Main St Princeton IL 61356-9728 | |
(815) 875-2273 | |
(815) 207-8682 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2128 N Main St, Princeton, Illinois |
Authorized Official Name and Position | Jean Welte (MEDICAL STAFF SERVICES COORD) |
Authorized Official Contact | 8158762293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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530 Park Ave E Princeton IL 61356-3901 Ph: (815) 876-4419 | 2128 N Main St Princeton IL 61356-9728 Ph: (815) 875-2273 |
NPI Number | 1699229823 |
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Provider Enumeration Date | 08/04/2016 |
Last Update Date | 07/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699229823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 0001883 (Illinois) | Primary |
Louis J. Foley, M.d. Gynecology, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E, Suite 205, Princeton, IL 61356 Phone: 815-872-9491 Fax: 815-875-4060 | |
Osf Healthcare System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 Park Ave E Ste 303b, Princeton, IL 61356 Phone: 815-875-2811 | |
Gregg E Davis Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Park Ave E, Princeton, IL 61356 Phone: 815-879-3212 Fax: 815-879-8602 |