| Belleville Family Practice Residency Program | |
|
180 S 3rd St Suite 300 Belleville IL 62220-1952 | |
| (618) 234-2120 | |
| (618) 222-4703 |
| Full Name | Belleville Family Practice Residency Program |
|---|---|
| Speciality | Family Medicine |
| Location | 180 S 3rd St, Belleville, Illinois |
| Authorized Official Name and Position | Mark D Evard (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 2174929651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belleville Family Practice Residency Program 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 234-2120 | Belleville Family Practice Residency Program 180 S 3rd St Suite 300 Belleville IL 62220-1952 Ph: (618) 234-2120 |
| NPI Number | 1326070921 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326070921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
PC Associate, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste 160, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 |
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PC Associates ,LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Drive, Ste. 220, Belleville, IL 62226 Phone: 618-235-6191 Fax: 618-235-6716 |
Healthcare Physicians of Southern Illinois, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 |
PC Associate, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr Ste 400, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 |
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