| Family Practice Medical Center Ltd | |
|
302 N Main St Georgetown IL 61846-1728 | |
| (217) 662-2282 | |
| (217) 662-6946 |
| Full Name | Family Practice Medical Center Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 N Main St, Georgetown, Illinois |
| Authorized Official Name and Position | George R Gindi (OWNER) |
| Authorized Official Contact | 2175160715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Medical Center Ltd 511 W Fairchild St Danville IL 61832-3801 Ph: (217) 431-2025 | Family Practice Medical Center Ltd 302 N Main St Georgetown IL 61846-1728 Ph: (217) 662-2282 |
| NPI Number | 1669654224 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6103723184 |
|---|---|
| Medicare Enrollment ID | O20040702000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669654224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 001 (Illinois) | Primary |
Fusion Of Wellness: Body, Mind, And Soul, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 N Main St, Georgetown, IL 61846 Phone: 217-274-6966 |