| Wenona Health Center S C | |
|
516 S. Chestnut St Wenona IL 61377 | |
| (815) 853-4402 | |
| Not Available |
| Full Name | Wenona Health Center S C |
|---|---|
| Speciality | Family Medicine |
| Location | 516 S. Chestnut St, Wenona, Illinois |
| Authorized Official Name and Position | Samuel T Baz (PRESIDENT) |
| Authorized Official Contact | 8158534402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wenona Health Center S C 516 S. Chestnut St Po Box 250 Wenona IL 61377 Ph: (815) 853-4402 | Wenona Health Center S C 516 S. Chestnut St Wenona IL 61377 Ph: (815) 853-4402 |
| NPI Number | 1760602254 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760602254 | NPI | - | NPPES |
| 0006200024 | Other | IL | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 208000000X | Pediatrics | (Illinois) | Secondary |
| 208600000X | Surgery | (Illinois) | Secondary |
Hshs Medical Group Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 S Chestnut St, Wenona, IL 61377 Phone: 815-853-4402 Fax: 815-853-4200 |