Sa Davis Junction Clinic | |
5665 N Junction Way Davis Junction IL 61020 | |
(779) 696-9200 | |
Not Available |
Full Name | Sa Davis Junction Clinic |
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Speciality | Family Medicine |
Location | 5665 N Junction Way, Davis Junction, 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 Davis Junction Clinic Po Box 78866 Milwaukee WI 53278-8866 Ph: () - | Sa Davis Junction Clinic 5665 N Junction Way Davis Junction IL 61020 Ph: (779) 696-9200 |
NPI Number | 1407908189 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 07/12/2018 |
Identifier | Type | State | Issuer |
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1407908189 | NPI | - | NPPES |
CLIA | Other | IL | 14D0990463 |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |