| Hshs Medical Group Inc | |
|
516 S Chestnut St Wenona IL 61377-7526 | |
| (815) 853-4402 | |
| (815) 853-4200 |
| Full Name | Hshs Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 516 S Chestnut St, Wenona, Illinois |
| Authorized Official Name and Position | Melinda Clark (CEO) |
| Authorized Official Contact | 2174929696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hshs Medical Group Inc 516 S Chestnut St Wenona IL 61377-7526 Ph: (815) 853-4402 | Hshs Medical Group Inc 516 S Chestnut St Wenona IL 61377-7526 Ph: (815) 853-4402 |
| NPI Number | 1316358187 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316358187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |