| Perry Memorial Walnut Clinic | |
|
105 N Main St Ste 1 Walnut IL 61376-9707 | |
| (815) 379-2020 | |
| (815) 379-2018 |
| Full Name | Perry Memorial Walnut Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 105 N Main St Ste 1, Walnut, Illinois |
| Authorized Official Name and Position | Jean Welte (MEDICAL STAFF SERVICES COORDINATOR) |
| Authorized Official Contact | 8158762293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Memorial Walnut Clinic 530 Park Ave E Princeton IL 61356-3901 Ph: (815) 876-4419 | Perry Memorial Walnut Clinic 105 N Main St Ste 1 Walnut IL 61376-9707 Ph: (815) 379-2020 |
| NPI Number | 1033649967 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033649967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0001883 (Illinois) | Primary |
Perry Memorial Walnut Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Main St Ste 1, Walnut, IL 61376 Phone: 815-379-2020 Fax: 815-379-2018 |