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Vandalia Estates, Llc
Point of Service in Vandalia, Illinois
NPI 1013113687

Vandalia Estates, Llc is a Point of Service based in Eugene, IL. Vandalia Estates, Llc practices in Vandalia, IL. The NPI Number for Vandalia Estates, Llc is 1013113687 and holds a License No. (Illinois).

The current practice location address for Vandalia Estates, Llc is 1607 W Fillmore St, Vandalia, IL and can be reached out via phone at 618-283-9825 and via fax at 618-283-9926.

Location: 1607 W Fillmore St, Vandalia, IL, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013113687
Provider Name
Vandalia Estates, Llc
Credential
Provider Entity Type
Organization
Address
1607 W Fillmore St, Vandalia, IL, 97401-7900
Phone Number
618-283-9825
Fax Number
618-283-9926
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1607 W Fillmore St
City
Vandalia
State
Illinois
Zip
62471-3112
Phone Number
618-283-9825
Fax Number
618-283-9926
person
Provider Business Mailing Address Details
Address
1607 W Fillmore St
City
Vandalia
State
Illinois
Zip
62471-3112
Phone Number
618-283-9825
Fax Number
618-283-9926
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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