| Med Plus Physical Medicine Llc | |
|
18209 Eula Mae Pkwy Carlyle IL 62231-6407 | |
| (618) 594-3671 | |
| (618) 594-8058 |
| Full Name | Med Plus Physical Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 18209 Eula Mae Pkwy, Carlyle, Illinois |
| Authorized Official Name and Position | Matthew W Bretz (OWNER) |
| Authorized Official Contact | 6185943671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Plus Physical Medicine Llc 18209 Eula Mae Pkwy Carlyle IL 62231-6407 Ph: (618) 594-3671 | Med Plus Physical Medicine Llc 18209 Eula Mae Pkwy Carlyle IL 62231-6407 Ph: (618) 594-3671 |
| NPI Number | 1053606020 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053606020 | NPI | - | NPPES |
| 070016995 | Other | IL | ILLINOIS STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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