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233 S Congress St Rushville IL 62681-1409 | |
(217) 322-3345 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 233 S Congress St, Rushville, Illinois |
Authorized Official Name and Position | Alan Palo (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2173224321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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233 S Congress St Rushville IL 62681-1409 Ph: (217) 322-3345 | 233 S Congress St Rushville IL 62681-1409 Ph: (217) 322-3345 |
NPI Number | 1194025882 |
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Provider Enumeration Date | 10/27/2010 |
Last Update Date | 02/03/2011 |
Identifier | Type | State | Issuer |
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1194025882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |