| T Clinic LLC | |
|
4204 Williamson Pl Mount Vernon IL 62864-6705 | |
| (618) 242-0600 | |
| Not Available |
| Full Name | T Clinic LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4204 Williamson Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | Mohammed Haseeb (PRESIDENT) |
| Authorized Official Contact | 6182420600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Clinic LLC Po Box 789 Mount Vernon IL 62864-0016 Ph: (618) 242-0600 | T Clinic LLC 4204 Williamson Pl Mount Vernon IL 62864-6705 Ph: (618) 242-0600 |
| NPI Number | 1750755708 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750755708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036084325 (Illinois) | Primary |
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