Winchester Family Practice | |
231 W Cherry St Winchester IL 62694-1027 | |
(217) 742-3117 | |
(217) 742-3988 |
Full Name | Winchester Family Practice |
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Speciality | Clinic/center - Rural Health |
Location | 231 W Cherry St, Winchester, Illinois |
Authorized Official Name and Position | Ronald L Johnson (OWNER/PHYSICIAN) |
Authorized Official Contact | 2172859661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Winchester Family Practice 231 W Cherry St Winchester IL 62694-1027 Ph: (217) 742-3117 | Winchester Family Practice 231 W Cherry St Winchester IL 62694-1027 Ph: (217) 742-3117 |
NPI Number | 1629078688 |
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Provider Enumeration Date | 07/29/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629078688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 148919 (Illinois) | Primary |
Quincy Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 W Cherry St, Winchester, IL 62694 Phone: 217-742-3117 |