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1306 N Atchison Ave Suite C Marion IL 62959-5426 | |
| (618) 998-1900 | |
| (618) 998-1990 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1306 N Atchison Ave, Marion, Illinois |
| Authorized Official Name and Position | Kelli S Boss (BILLING DEPARTMENT) |
| Authorized Official Contact | 6189981900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1306 N Atchison Ave Suite C Marion IL 62959-5426 Ph: (618) 998-1900 | 1306 N Atchison Ave Suite C Marion IL 62959-5426 Ph: (618) 998-1900 |
| NPI Number | 1962689240 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962689240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Michael P Lawler Md S Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St Ste 3, Marion, IL 62959 Phone: 618-967-7660 | |
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