| Priority Health Family Medicine Llc | |
|
5160 Hickory Point Frontage Rd Decatur IL 62526-9778 | |
| (217) 330-9788 | |
| (217) 330-8945 |
| Full Name | Priority Health Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5160 Hickory Point Frontage Rd, Decatur, Illinois |
| Authorized Official Name and Position | Sheryl L Miller (PRACTICE MANAGER) |
| Authorized Official Contact | 2173309788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health Family Medicine Llc 5160 Hickory Point Frontage Rd Decatur IL 62526-9778 Ph: (217) 330-9788 | Priority Health Family Medicine Llc 5160 Hickory Point Frontage Rd Decatur IL 62526-9778 Ph: (217) 330-9788 |
| NPI Number | 1598125031 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598125031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036107742 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036092026 (Illinois) | Primary |
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