| Chester Medical Group, Llc | |
|
2319 Old Plank Rd Chester IL 62233-1153 | |
| (618) 826-2388 | |
| (618) 826-3350 |
| Full Name | Chester Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2319 Old Plank Rd, Chester, Illinois |
| Authorized Official Name and Position | Donna Martin (ADMINISTRATOR) |
| Authorized Official Contact | 6188262388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Medical Group, Llc 2319 Old Plank Rd Chester IL 62233-1153 Ph: (618) 826-2388 | Chester Medical Group, Llc 2319 Old Plank Rd Chester IL 62233-1153 Ph: (618) 826-2388 |
| NPI Number | 1629346812 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629346812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chester Clinic Professional Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2319 Old Plank Rd, Chester, IL 62233 Phone: 618-826-2388 Fax: 618-826-3350 |