Susan Burge Do Sc | |
111 S State St Beardstown IL 62618-1217 | |
(217) 323-9703 | |
(217) 323-9706 |
Full Name | Susan Burge Do Sc |
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Speciality | Family Medicine |
Location | 111 S State St, Beardstown, Illinois |
Authorized Official Name and Position | Susan J Burge (PHYSICIAN) |
Authorized Official Contact | 2173239703 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susan Burge Do Sc 111 S State St Beardstown IL 62618-1217 Ph: (217) 323-9703 | Susan Burge Do Sc 111 S State St Beardstown IL 62618-1217 Ph: (217) 323-9703 |
NPI Number | 1316222557 |
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Provider Enumeration Date | 10/19/2011 |
Last Update Date | 10/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316222557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036119873 (Illinois) | Primary |
Memorial Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8460 Saint Lukes Dr, Beardstown, IL 62618 Phone: 217-544-0306 Fax: 217-323-1739 | |