| Robert Farmer Md Sc | |
|
211 E Hanover St New Baden IL 62265-1811 | |
| (618) 588-2900 | |
| (618) 588-2904 |
| Full Name | Robert Farmer Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 E Hanover St, New Baden, Illinois |
| Authorized Official Name and Position | Robert Farmer (OWNER) |
| Authorized Official Contact | 6185882900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Farmer Md Sc 211 E Hanover St New Baden IL 62265-1811 Ph: (618) 588-2900 | Robert Farmer Md Sc 211 E Hanover St New Baden IL 62265-1811 Ph: (618) 588-2900 |
| NPI Number | 1013101211 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013101211 | NPI | - | NPPES |
| 356589729 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0036097185 (Illinois) | Primary |
St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-2900 |