T Clinic Llc | |
4204 Williamson Pl Mount Vernon IL 62864-6705 | |
(618) 242-0600 | |
Not Available |
Full Name | T Clinic Llc |
---|---|
Speciality | Internal Medicine |
Location | 4204 Williamson Pl, Mount Vernon, Illinois |
Authorized Official Name and Position | Mohammed Haseeb (PRESIDENT) |
Authorized Official Contact | 6182420600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
T Clinic Llc Po Box 789 Mount Vernon IL 62864-0016 Ph: (618) 242-0600 | T Clinic Llc 4204 Williamson Pl Mount Vernon IL 62864-6705 Ph: (618) 242-0600 |
NPI Number | 1750755708 |
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Provider Enumeration Date | 11/13/2015 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750755708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036084325 (Illinois) | Primary |
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