| Chesi Marion Centre Clinic | |
|
3111 Williamson County Pkwy Office A3 Marion IL 62959-5235 | |
| (618) 734-4400 | |
| Not Available |
| Full Name | Chesi Marion Centre Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 3111 Williamson County Pkwy, Marion, Illinois |
| Authorized Official Name and Position | Fred Bernstein (CEO) |
| Authorized Official Contact | 6184570450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesi Marion Centre Clinic 1250 Cedar Ct Carbondale IL 62901-5334 Ph: (618) 457-0450 | Chesi Marion Centre Clinic 3111 Williamson County Pkwy Office A3 Marion IL 62959-5235 Ph: (618) 734-4400 |
| NPI Number | 1205372778 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205372778 | NPI | - | NPPES |
| 20164 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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