| Streator Medical Services, Pc | |
|
409 E Bridge St Streator IL 61364-2915 | |
| (815) 672-5500 | |
| (815) 673-5522 |
| Full Name | Streator Medical Services, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 409 E Bridge St, Streator, Illinois |
| Authorized Official Name and Position | Joni Luckey (SHAREHOLDER) |
| Authorized Official Contact | 8156725500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Streator Medical Services, Pc 409 E Bridge St Streator IL 61364-2915 Ph: (815) 672-5500 | Streator Medical Services, Pc 409 E Bridge St Streator IL 61364-2915 Ph: (815) 672-5500 |
| NPI Number | 1144432790 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144432790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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