| John Hall, M.D., P.C. | |
|
3505 Broadway St Ste A Mount Vernon IL 62864-2202 | |
| (618) 244-7788 | |
| (618) 244-9330 |
| Full Name | John Hall, M.D., P.C. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3505 Broadway St, Mount Vernon, Illinois |
| Authorized Official Name and Position | John T Hall (PRESIDENT/OWNER) |
| Authorized Official Contact | 6182447788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Hall, M.D., P.C. 3505 Broadway St Ste A Mount Vernon IL 62864-2202 Ph: (618) 244-7788 | John Hall, M.D., P.C. 3505 Broadway St Ste A Mount Vernon IL 62864-2202 Ph: (618) 244-7788 |
| NPI Number | 1558473645 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558473645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 36060706 (Illinois) | Primary |
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