| Clinton Internal Medicine LLC | |
|
40 Clinton Plz Clinton IL 61727-2100 | |
| (217) 935-7600 | |
| (217) 935-7603 |
| Full Name | Clinton Internal Medicine LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 Clinton Plz, Clinton, Illinois |
| Authorized Official Name and Position | Veronica Luster (OFFICE MANAGER) |
| Authorized Official Contact | 2179357600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Internal Medicine LLC 40 Clinton Plz Clinton IL 61727-2100 Ph: (217) 935-7600 | Clinton Internal Medicine LLC 40 Clinton Plz Clinton IL 61727-2100 Ph: (217) 935-7600 |
| NPI Number | 1497811657 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 11/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497811657 | NPI | - | NPPES |
| DA9151 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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