| Medical Care Innovation, P.c. | |
|
4300 Mbl Dr Ottawa IL 61350-9356 | |
| (815) 587-4254 | |
| Not Available |
| Full Name | Medical Care Innovation, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4300 Mbl Dr, Ottawa, Illinois |
| Authorized Official Name and Position | Ann B Merkow (PRESIDENT) |
| Authorized Official Contact | 4145668400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Innovation, P.c. N61w23044 Harrys Way Sussex WI 53089-3995 Ph: (414) 566-8400 | Medical Care Innovation, P.c. 4300 Mbl Dr Ottawa IL 61350-9356 Ph: (815) 587-4254 |
| NPI Number | 1659818581 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659818581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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