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1725 Shomaker Dr Murphysboro IL 62966-2507 | |
(618) 684-2109 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 1725 Shomaker Dr, Murphysboro, Illinois |
Authorized Official Name and Position | Tim P. O'leary (SUPERINTENDENT) |
Authorized Official Contact | 6183579096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1725 Shomaker Dr Murphysboro IL 62966-2507 Ph: (618) 684-2109 | 1725 Shomaker Dr Murphysboro IL 62966-2507 Ph: (618) 684-2109 |
NPI Number | 1679693949 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1679693949 | NPI | - | NPPES |
376004298001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
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