| Progressive Family Care, Ltd | |
|
509 Hamacher St Suite 103 Waterloo IL 62298-1592 | |
| (618) 939-2273 | |
| (618) 939-0245 |
| Full Name | Progressive Family Care, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 509 Hamacher St, Waterloo, Illinois |
| Authorized Official Name and Position | Michael Nels Kirk (OWNER) |
| Authorized Official Contact | 6189392273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Family Care, Ltd 509 Hamacher St Suite 103 Waterloo IL 62298-1592 Ph: (618) 939-2273 | Progressive Family Care, Ltd 509 Hamacher St Suite 103 Waterloo IL 62298-1592 Ph: (618) 939-2273 |
| NPI Number | 1972722833 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972722833 | NPI | - | NPPES |
| DG3299 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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