| Primary Care Physicians, S.c. | |
|
3701 E Lake Ctr Suite 1 Quincy IL 62305-5842 | |
| (217) 224-3935 | |
| Not Available |
| Full Name | Primary Care Physicians, S.c. |
|---|---|
| Speciality | Chiropractor |
| Location | 3701 E Lake Ctr, Quincy, Illinois |
| Authorized Official Name and Position | Terry William Shaw (OWNER/PRESIDENT) |
| Authorized Official Contact | 2172243935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physicians, S.c. 3701 E Lake Ctr Suite 1 Quincy IL 62305-5842 Ph: (217) 224-3935 | Primary Care Physicians, S.c. 3701 E Lake Ctr Suite 1 Quincy IL 62305-5842 Ph: (217) 224-3935 |
| NPI Number | 1366465213 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366465213 | NPI | - | NPPES |
| 123650 | Other | IL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 111N00000X | Chiropractor | (Illinois) | Primary |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4409 Maine St Ste 100, Quincy, IL 62305 Phone: 217-919-9139 Fax: 217-223-0461 | |
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Blessing Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
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