| Eagle Family Medicine Sc | |
|
111 E Knoxville St Brimfield IL 61517-8022 | |
| (309) 446-3305 | |
| (309) 446-9072 |
| Full Name | Eagle Family Medicine Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 E Knoxville St, Brimfield, Illinois |
| Authorized Official Name and Position | Robert Scott Bevill (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3094463305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Family Medicine Sc 111 E Knoxville St Brimfield IL 61517-8022 Ph: (309) 446-3305 | Eagle Family Medicine Sc 111 E Knoxville St Brimfield IL 61517-8022 Ph: (309) 446-3305 |
| NPI Number | 1508867557 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508867557 | NPI | - | NPPES |
| K37812 | Other | IL | MEDICARE PROVIDER NUMBER |
| 208745 | Other | IL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
St. Mary Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Knoxville St, Brimfield, IL 61517 Phone: 309-446-3305 |