| |
1250 W Whittaker St Salem IL 62881-1917 | |
(618) 532-3950 | |
(618) 532-9365 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1250 W Whittaker St, Salem, Illinois |
Authorized Official Name and Position | Richard Huntington (VP FINANCIAL DEVELOPMENT) |
Authorized Official Contact | 6182412204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
413 Main St Mount Vernon IL 62864-3649 Ph: (618) 532-3950 | 1250 W Whittaker St Salem IL 62881-1917 Ph: (618) 532-3950 |
NPI Number | 1619109543 |
---|---|
Provider Enumeration Date | 08/11/2009 |
Last Update Date | 08/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619109543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Anton Dubrick Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Schwartz St, Salem, IL 62881 Phone: 618-740-4667 Fax: 618-740-1482 | |