Professional Plaza Family Practice | |
200 Professional Plz Mattoon IL 61938-9280 | |
(217) 238-4801 | |
Not Available |
Full Name | Professional Plaza Family Practice |
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Speciality | Family Medicine |
Location | 200 Professional Plz, Mattoon, Illinois |
Authorized Official Name and Position | Dennis Pluard (CFO) |
Authorized Official Contact | 2172582513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Plaza Family Practice 1000 Health Center Dr Mattoon IL 61938-9253 Ph: () - | Professional Plaza Family Practice 200 Professional Plz Mattoon IL 61938-9280 Ph: (217) 238-4801 |
NPI Number | 1467570507 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 07/18/2007 |
Identifier | Type | State | Issuer |
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1467570507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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