| Bromenn Physicians Management Corporation | |
|
115 E Walnut St Fairbury IL 61739-1516 | |
| (815) 692-2305 | |
| Not Available |
| Full Name | Bromenn Physicians Management Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 115 E Walnut St, Fairbury, Illinois |
| Authorized Official Name and Position | William Brouwer (PRESIDENT) |
| Authorized Official Contact | 3092682129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bromenn Physicians Management Corporation 115 E Walnut St Fairbury IL 61739-1516 Ph: (815) 692-2305 | Bromenn Physicians Management Corporation 115 E Walnut St Fairbury IL 61739-1516 Ph: (815) 692-2305 |
| NPI Number | 1487731220 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487731220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gibson Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Wal Crest Dr, Fairbury, IL 61739 Phone: 815-692-1150 Fax: 815-692-1153 | |
Saint James Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 S 1st St, Fairbury, IL 61739 Phone: 815-692-2308 Fax: 815-692-3278 |