| Liberty Medical Center Coal City Sc | |
|
4 E North St Coal City IL 60416-1087 | |
| (815) 634-4099 | |
| (815) 634-4077 |
| Full Name | Liberty Medical Center Coal City Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 4 E North St, Coal City, Illinois |
| Authorized Official Name and Position | Hassnain S Syed (DIRECTOR) |
| Authorized Official Contact | 8156344099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Center Coal City Sc 4 E North St Coal City IL 60416-1087 Ph: (815) 634-4099 | Liberty Medical Center Coal City Sc 4 E North St Coal City IL 60416-1087 Ph: (815) 634-4099 |
| NPI Number | 1487948964 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487948964 | NPI | - | NPPES |
| 036-118250 | Medicaid | IL | |
| T01609 | Other | IL | MEDICARE PTAN |
| 036-087831 | Medicaid | IL | |
| 036-125457 | Medicaid | IL |
Daniel Jurak D O S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 E Division, Coal City, IL 60416 Phone: 815-634-0529 Fax: 815-634-0127 | |
Spyro D. Analytis, Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 N Broadway St, Coal City, IL 60416 Phone: 815-634-8030 Fax: 815-634-4052 |