| Restore Medical Llc | |
|
411 Maxine Dr Morton IL 61550-2495 | |
| (309) 291-0988 | |
| (309) 291-0989 |
| Full Name | Restore Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 411 Maxine Dr, Morton, Illinois |
| Authorized Official Name and Position | Alexander J Cummings (VICE PRESIDENT) |
| Authorized Official Contact | 3092910988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Medical Llc 411 Maxine Dr Morton IL 61550-2495 Ph: (309) 291-0988 | Restore Medical Llc 411 Maxine Dr Morton IL 61550-2495 Ph: (309) 291-0988 |
| NPI Number | 1972993814 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972993814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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