Family Medicine Of Mcleansboro Llc in Mcleansboro - Family
Family Medicine Of Mcleansboro Llc - NPI 1801920889
Family Medicine Of Mcleansboro Llc is a Family in Mcleansboro, Illinois. Family Medicine Of Mcleansboro Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Family Medicine Of Mcleansboro Llc is 1801920889. The last update date is 2020-08-22.
Family Medicine Of Mcleansboro Llc's current location address is 208 South Washington Street, Mcleansboro, Illinois. You can contact this provider via phone number 6186432835 and fax number 6186432891. The mailing address for Family Medicine Of Mcleansboro Llc is 208 South Washington Street, Mcleansboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Medicine Of Mcleansboro Llc |
|---|---|
| Address | 208 South Washington Street, Mcleansboro, Illinois |
| Phone Number | 6186432835 |
| Fax Number | 6186432891 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Davenport S Michael |
| Credentials | FNP |
| Telephone Number | 6189278714 |
NPI Number Detail
| NPI Number | 1801920889 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 208 South Washington Street |
|---|---|
| City | Mcleansboro |
| State | Illinois (IL) |
| Post Code | 62859 |
| Phone Number | 6186432835 |
| Fax Number | 6186432891 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identifier code issued to Family Medicine Of Mcleansboro Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Family Medicine Of Mcleansboro Llc has been assigned the NPI (National Provider Identifier) 1801920889. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Family Medicine Of Mcleansboro Llc is geographically located?
The Family Medicine Of Mcleansboro Llc is physically situated at the following location: 208 South Washington Street, Mcleansboro, IL, 62859.
What is Family Medicine Of Mcleansboro Llc's area of expertise and its corresponding taxonomy classification?
The Family Medicine Of Mcleansboro Llc's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1801920889 to Family Medicine Of Mcleansboro Llc?
The Family Medicine Of Mcleansboro Llc received its 1801920889 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information regarding Family Medicine Of Mcleansboro Llc most recently updated?
The details pertaining to the Family Medicine Of Mcleansboro Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.