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1110 Mulliken St Carlyle IL 62231-1233 | |
| (618) 594-3613 | |
| (681) 594-4799 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1110 Mulliken St, Carlyle, Illinois |
| Authorized Official Name and Position | Lisa R Rivera (OFFICE MANAGER) |
| Authorized Official Contact | 6185943613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1110 Mulliken St Po Box 147 Carlyle IL 62231-1233 Ph: (618) 594-3613 | 1110 Mulliken St Carlyle IL 62231-1233 Ph: (618) 594-3613 |
| NPI Number | 1114073756 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114073756 | NPI | - | NPPES |
Med Plus Physical Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18209 Eula Mae Pkwy, Carlyle, IL 62231 Phone: 618-594-3671 Fax: 618-594-8058 | |
Rivera Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |
Rivera Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |