| Sth Family Health Care Center | |
|
1321 W Whittaker St Salem IL 62881-2013 | |
| (618) 548-0200 | |
| (618) 548-0924 |
| Full Name | Sth Family Health Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1321 W Whittaker St, Salem, Illinois |
| Authorized Official Name and Position | Kendra K Taylor (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6185483194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sth Family Health Care Center 1201 Ricker Rd Salem IL 62881-4263 Ph: (618) 548-3194 | Sth Family Health Care Center 1321 W Whittaker St Salem IL 62881-2013 Ph: (618) 548-0200 |
| NPI Number | 1629433784 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629433784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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