| Eastern Iowa Therapeutics P.c. | |
| 
					440 E Cherry St Vermillion SD 57069-1403  | |
| (605) 741-0003 | |
| (605) 202-6414 | 
| Full Name | Eastern Iowa Therapeutics P.c. | 
|---|---|
| Speciality | Clinic/center | 
| Location | 440 E Cherry St, Vermillion, South Dakota | 
| Authorized Official Name and Position | Juana Granados (CREDENTIALING MANAGER) | 
| Authorized Official Contact | 6305751980 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eastern Iowa Therapeutics P.c. 600 Oakmont Ln Ste 600c Westmont IL 60559-5548 Ph: (630) 575-6250  | Eastern Iowa Therapeutics P.c. 440 E Cherry St Vermillion SD 57069-1403 Ph: (605) 741-0003  | 
| NPI Number | 1689137085 | 
|---|---|
| Provider Enumeration Date | 04/11/2019 | 
| Last Update Date | 04/11/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689137085 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
Yankton Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Plum St, Vermillion, SD 57069 Phone: 605-624-8643  |