| Samg Marengo Immediate Care | |
|
204 E Prairie St Marengo IL 60152-3107 | |
| (779) 696-9553 | |
| Not Available |
| Full Name | Samg Marengo Immediate Care |
|---|---|
| Speciality | Family Medicine |
| Location | 204 E Prairie St, Marengo, 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 |
|---|---|
| Samg Marengo Immediate Care Po Box 1567 Rockford IL 61110-0067 Ph: () - | Samg Marengo Immediate Care 204 E Prairie St Marengo IL 60152-3107 Ph: (779) 696-9553 |
| NPI Number | 1205154440 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205154440 | NPI | - | NPPES |
| 14D2010270 | Other | IL | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Osfmg - Marengo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 556 E Grant Hwy, Marengo, IL 60152 Phone: 800-589-6070 Fax: 309-683-5969 | |
Samg Marengo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E Prairie St, Marengo, IL 60152 Phone: 779-696-9553 | |
T Ahmad Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21807 W Grant Hwy, Marengo, IL 60152 Phone: 815-568-1074 Fax: 815-568-0134 |