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125 S 4th St Watseka IL 60970-1601 | |
(815) 432-5430 | |
(815) 432-6024 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 125 S 4th St, Watseka, Illinois |
Authorized Official Name and Position | Philip Frank Zumwalt (OWNER/PHYSICIAN) |
Authorized Official Contact | 8154325430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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125 S 4th St Watseka IL 60970-1601 Ph: (815) 432-5430 | 125 S 4th St Watseka IL 60970-1601 Ph: (815) 432-5430 |
NPI Number | 1508946112 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 10/08/2008 |
Identifier | Type | State | Issuer |
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1508946112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gonzalo T Florido Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 S 10th St, Watseka, IL 60970 Phone: 815-432-6744 | |