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12866 Troxler Ave Highland IL 62249-2806 | |
| (618) 651-2600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 12866 Troxler Ave, Highland, Illinois |
| Authorized Official Name and Position | Mark Duane Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 526-7271 | 12866 Troxler Ave Highland IL 62249-2806 Ph: (618) 651-2600 |
| NPI Number | 1639786171 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639786171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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