| Jch Medical Group-jerseyville Iii | |
|
220 E County Rd Jerseyville IL 62052-3125 | |
| (618) 498-8467 | |
| (618) 639-2017 |
| Full Name | Jch Medical Group-jerseyville Iii |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 E County Rd, Jerseyville, Illinois |
| Authorized Official Name and Position | Beth King (CEO) |
| Authorized Official Contact | 6184988350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jch Medical Group-jerseyville Iii 390 Maple Summit Rd Jerseyville IL 62052-2000 Ph: (618) 498-7518 | Jch Medical Group-jerseyville Iii 220 E County Rd Jerseyville IL 62052-3125 Ph: (618) 498-8467 |
| NPI Number | 1548744501 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 4587650445 |
|---|---|
| Medicare Enrollment ID | O20190730003723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548744501 | NPI | - | NPPES |
| 148604 | Other | IL | CMS |
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