| Illini Cares | |
|
3631 S 6th St Suite D Springfield IL 62703-4777 | |
| (217) 391-5446 | |
| Not Available |
| Full Name | Illini Cares |
|---|---|
| Speciality | General Practice |
| Location | 3631 S 6th St, Springfield, Illinois |
| Authorized Official Name and Position | Chad Beene (MANAGER) |
| Authorized Official Contact | 2159151020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illini Cares 3631 S 6th St Suite D Springfield IL 62703-4777 Ph: (217) 391-5446 | Illini Cares 3631 S 6th St Suite D Springfield IL 62703-4777 Ph: (217) 391-5446 |
| NPI Number | 1316498165 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316498165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036119004 (Illinois) | Primary |
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