| Kadhiresan Murugappan S C | |
|
611 S Marshall Ave Mc Leansboro IL 62859-1213 | |
| (618) 643-2361 | |
| (618) 643-2502 |
| Full Name | Kadhiresan Murugappan S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 S Marshall Ave, Mc Leansboro, Illinois |
| Authorized Official Name and Position | Kadhiresan Murugappan (OWNER) |
| Authorized Official Contact | 6186434361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kadhiresan Murugappan S C 124 E Market St Mc Leansboro IL 62859-1317 Ph: (618) 643-4361 | Kadhiresan Murugappan S C 611 S Marshall Ave Mc Leansboro IL 62859-1213 Ph: (618) 643-2361 |
| NPI Number | 1245438480 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245438480 | NPI | - | NPPES |
| 036060687 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042617997 (Illinois) | Primary |
Ferrell Hospital Community Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Washington Street, Mc Leansboro, IL 62859 Phone: 618-643-2835 Fax: 618-643-2891 | |
Ferrell Hospital Community Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Washington St Ste A, Mc Leansboro, IL 62859 Phone: 618-643-2835 |