| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952496176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |