Sa Byron Clinic | |
230 W Blackhawk Dr Byron IL 61010 | |
(779) 696-1300 | |
Not Available |
Full Name | Sa Byron Clinic |
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Speciality | Family Medicine |
Location | 230 W Blackhawk Dr, Byron, Illinois |
Authorized Official Name and Position | Don Daniels (VP) |
Authorized Official Contact | 8159662084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sa Byron Clinic Po Box 78866 Milwaukee WI 53278-8866 Ph: () - | Sa Byron Clinic 230 W Blackhawk Dr Byron IL 61010 Ph: (779) 696-1300 |
NPI Number | 1225199961 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 07/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225199961 | NPI | - | NPPES |
14D0429563 | Other | IL | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Inspire Physical Therapy And Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 W 2nd St Ste 1a, Byron, IL 61010 Phone: 815-645-9450 |