| Germantown Hills Medical Center Sc | |
|
107 Elizabeth Pointe Dr Germantown Hills IL 61548-9471 | |
| (309) 383-2323 | |
| (309) 383-2367 |
| Full Name | Germantown Hills Medical Center Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 107 Elizabeth Pointe Dr, Germantown Hills, Illinois |
| Authorized Official Name and Position | John Christopher Kell (PRESIDENT) |
| Authorized Official Contact | 3093832323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Germantown Hills Medical Center Sc 107 Elizabeth Pointe Dr Germantown Hills IL 61548-9471 Ph: (309) 383-2323 | Germantown Hills Medical Center Sc 107 Elizabeth Pointe Dr Germantown Hills IL 61548-9471 Ph: (309) 383-2323 |
| NPI Number | 1225283849 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225283849 | NPI | - | NPPES |
| 036-100702 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036100702 (Illinois) | Primary |