St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | |
205 Munster Street Germantown IL 62245 | |
(618) 523-4216 | |
(618) 523-7049 |
Full Name | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde |
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Speciality | Family Medicine |
Location | 205 Munster Street, Germantown, Illinois |
Authorized Official Name and Position | Mark Duane 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 |
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St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde 3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 523-4216 | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde 205 Munster Street Germantown IL 62245 Ph: (618) 523-4216 |
NPI Number | 1952496176 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 10/31/2024 |
Identifier | Type | State | Issuer |
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1952496176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |