| Sa Freeport Clinic | |
|
1036 W Stephenson St Freeport IL 61032 | |
| (877) 277-6770 | |
| Not Available |
| Full Name | Sa Freeport Clinic |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1036 W Stephenson St, Freeport, 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 |
|---|---|
| Sa Freeport Clinic Po Box 78866 Milwaukee WI 53278-8866 Ph: () - | Sa Freeport Clinic 1036 W Stephenson St Freeport IL 61032 Ph: (877) 277-6770 |
| NPI Number | 1902134281 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902134281 | NPI | - | NPPES |
| 064 | Other | IL | TRICARE SUFFIX # |
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