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1510 W Springfield Rd Suite A Taylorville IL 62568-2764 | |
(217) 824-8244 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1510 W Springfield Rd, Taylorville, Illinois |
Authorized Official Name and Position | Paul Toofan (PRESIDENT) |
Authorized Official Contact | 2178248244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1510 W Springfield Rd Suite A Taylorville IL 62568-2764 Ph: (217) 824-8244 | 1510 W Springfield Rd Suite A Taylorville IL 62568-2764 Ph: (217) 824-8244 |
NPI Number | 1679029961 |
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Provider Enumeration Date | 08/28/2016 |
Last Update Date | 08/28/2016 |
Medicare PECOS PAC ID | 6800026006 |
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Medicare Enrollment ID | O20170110000721 |
Identifier | Type | State | Issuer |
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1679029961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Toofan Medical Holdings, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 W Springfield Rd Ste A, Taylorville, IL 62568 Phone: 217-824-8244 Fax: 217-994-9304 | |