| Granite City Clinic Corp | |
|
602 Farrish St Madison IL 62060-1567 | |
| (618) 501-6261 | |
| Not Available |
| Full Name | Granite City Clinic Corp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 602 Farrish St, Madison, Illinois |
| Authorized Official Name and Position | Zach Kenneth Chapman (DIRECTOR PRACTICE MANAGEMENT) |
| Authorized Official Contact | 6187983845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite City Clinic Corp 2100 Madison Ave Granite City IL 62040-4713 Ph: (618) 798-3845 | Granite City Clinic Corp 602 Farrish St Madison IL 62060-1567 Ph: (618) 501-6261 |
| NPI Number | 1598248106 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598248106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Madison County Urban League Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Madison Ave, Madison, IL 62060 Phone: 618-876-9145 Fax: 618-452-5392 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Madison Ave, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 648 State St, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 6th St, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802 |