| Springfield Clinic Llp | |
|
505 E Grant St Ste 110 Macomb IL 61455-3308 | |
| (309) 833-1733 | |
| Not Available |
| Full Name | Springfield Clinic Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 E Grant St Ste 110, Macomb, Illinois |
| Authorized Official Name and Position | Christopher Michael Cousins (VP) |
| Authorized Official Contact | 2173917100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic Llp Po Box 19248 Springfield IL 62794-9248 Ph: (217) 528-7541 | Springfield Clinic Llp 505 E Grant St Ste 110 Macomb IL 61455-3308 Ph: (309) 833-1733 |
| NPI Number | 1730831157 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20220310000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730831157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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