| Medical Service Corporation Sc | |
|
104 W 6th St Ste 206 Streator IL 61364-2864 | |
| (815) 252-1805 | |
| (815) 663-0103 |
| Full Name | Medical Service Corporation Sc |
|---|---|
| Speciality | General Practice |
| Location | 104 W 6th St Ste 206, Streator, Illinois |
| Authorized Official Name and Position | Agnes Wilson (RN) |
| Authorized Official Contact | 8152521805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Service Corporation Sc 405 Bronco Dr Bloomington IL 61704-5393 Ph: (815) 252-1805 | Medical Service Corporation Sc 104 W 6th St Ste 206 Streator IL 61364-2864 Ph: (815) 252-1805 |
| NPI Number | 1093150567 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 11/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093150567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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