| Springfield Clinic Llp | |
|
206 N Pearl St Teutopolis IL 62467-1134 | |
| (217) 857-6481 | |
| Not Available |
| Full Name | Springfield Clinic Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 N Pearl St, Teutopolis, Illinois |
| Authorized Official Name and Position | Christopher Michael Cousins (VP) |
| Authorized Official Contact | 2173917100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic Llp Po Box 19248 Springfield IL 62794-9248 Ph: (217) 528-7541 | Springfield Clinic Llp 206 N Pearl St Teutopolis IL 62467-1134 Ph: (217) 857-6481 |
| NPI Number | 1316697600 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20220509002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316697600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mid-illinois Medical Care Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 N Pearl, Teutopolis, IL 62467 Phone: 217-857-6481 Fax: 217-857-6094 |