| Streator Chidlrens Clinic | |
|
111 Spring St Fl 5 Streator IL 61364-3332 | |
| (815) 673-2353 | |
| (815) 673-2486 |
| Full Name | Streator Chidlrens Clinic |
|---|---|
| Speciality | Specialist |
| Location | 111 Spring St Fl 5, Streator, Illinois |
| Authorized Official Name and Position | Keady Gillman (OFFICE MANAGER) |
| Authorized Official Contact | 8156732353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Streator Chidlrens Clinic 111 Spring St Fl 5 Streator IL 61364-3332 Ph: (815) 673-2353 | Streator Chidlrens Clinic 111 Spring St Fl 5 Streator IL 61364-3332 Ph: (815) 673-2353 |
| NPI Number | 1720453202 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720453202 | NPI | - | NPPES |
| 036091951 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 174400000X | Specialist | 036091951 (Illinois) | Primary |
Medical Service Corporation Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W 6th St Ste 206, Streator, IL 61364 Phone: 815-252-1805 Fax: 815-663-0103 | |
Indra Pal Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sixth Street, Streator, IL 61364 Phone: 815-674-0567 Fax: 815-672-8933 | |
Streator Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E Bridge St, Streator, IL 61364 Phone: 815-672-5500 Fax: 815-673-5522 | |
Muhammad Zafar Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 614 S Bloomington St, Streator, IL 61364 Phone: 815-672-5870 Fax: 815-673-1634 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Elm St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 | |
Parkview Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Elm St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 |