| Harrisburg Family Practice Ltd | |
|
7211 Us Highway 45 S Suite C Carrier Mills IL 62917 | |
| (618) 994-2321 | |
| (618) 994-2030 |
| Full Name | Harrisburg Family Practice Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 7211 Us Highway 45 S, Carrier Mills, Illinois |
| Authorized Official Name and Position | Michelle Boatright (ADMINISTRATOR) |
| Authorized Official Contact | 6182528625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisburg Family Practice Ltd 117 E Clark St Harrisburg IL 62946-2702 Ph: (618) 252-8625 | Harrisburg Family Practice Ltd 7211 Us Highway 45 S Suite C Carrier Mills IL 62917 Ph: (618) 994-2321 |
| NPI Number | 1174661870 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174661870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036112962 (Illinois) | Primary |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7211 Us 45 S, Carrier Mills, IL 62917 Phone: 618-294-8246 Fax: 618-294-8247 |