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100 N Monroe St Abingdon IL 61410-1457 | |
(309) 462-2343 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 100 N Monroe St, Abingdon, Illinois |
Authorized Official Name and Position | Robert C Sehring (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | 100 N Monroe St Abingdon IL 61410-1457 Ph: (309) 462-2343 |
NPI Number | 1861109647 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 07/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861109647 | NPI | - | NPPES |
999 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |