| Union County Family Medicine | |
|
515 N Main St Suite C Anna IL 62906-1668 | |
| (618) 833-2872 | |
| (618) 833-2414 |
| Full Name | Union County Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 515 N Main St, Anna, Illinois |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union County Family Medicine 515 N Main St Suite C Anna IL 62906-1668 Ph: (618) 833-2872 | Union County Family Medicine 515 N Main St Suite C Anna IL 62906-1668 Ph: (618) 833-2872 |
| NPI Number | 1467671263 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 9335243385 |
|---|---|
| Medicare Enrollment ID | O20070330000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467671263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffery S Deacon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104919075 PECOS PAC ID: 3274504832 Enrollment ID: I20061221000132 |
| Provider Name | Tamer Aiti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801043864 PECOS PAC ID: 8123283074 Enrollment ID: I20120627000735 |
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