| I & O Llc | |
|
147 N Main St Elizabethtown IL 62931-4463 | |
| (618) 499-4070 | |
| Not Available |
| Full Name | I & O Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 147 N Main St, Elizabethtown, Illinois |
| Authorized Official Name and Position | Joshua Hastie (OWNER) |
| Authorized Official Contact | 6185212446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I & O Llc 4225 Lincolnshire Dr Ste B Mount Vernon IL 62864-2157 Ph: (618) 318-8416 | I & O Llc 147 N Main St Elizabethtown IL 62931-4463 Ph: (618) 499-4070 |
| NPI Number | 1225838394 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 03/17/2025 |
| Medicare PECOS PAC ID | 2567987241 |
|---|---|
| Medicare Enrollment ID | O20250415001967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225838394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua D Hastie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447545686 PECOS PAC ID: 9830335553 Enrollment ID: I20130424000716 |
Community Health & Emergency Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Il Route 146 Bldg 2, Elizabethtown, IL 62931 Phone: 618-285-6191 Fax: 618-285-6833 |