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Med Plus Physical Medicine Llc
General Practice Physician in Carlyle, Illinois
NPI 1053606020

Med Plus Physical Medicine Llc is a General Practice Physician based in Carlyle, IL. Med Plus Physical Medicine Llc practices in Carlyle, IL. The NPI Number for Med Plus Physical Medicine Llc is 1053606020 and holds a License No. (Illinois).

The current practice location address for Med Plus Physical Medicine Llc is 18209 Eula Mae Pkwy, Carlyle, IL and can be reached out via phone at 618-594-3671 and via fax at 618-594-8058.

Location: 18209 Eula Mae Pkwy, Carlyle, IL, 62231-6407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053606020
Provider Name
Med Plus Physical Medicine Llc
Credential
Provider Entity Type
Organization
Address
18209 Eula Mae Pkwy, Carlyle, IL, 62231-6407
Phone Number
618-594-3671
Fax Number
618-594-8058
Provider Enumeration Date
06/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070016995 01 IL ILLINOIS STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
18209 Eula Mae Pkwy
City
Carlyle
State
Illinois
Zip
62231-6407
Phone Number
618-594-3671
Fax Number
618-594-8058
person
Provider Business Mailing Address Details
Address
18209 Eula Mae Pkwy
City
Carlyle
State
Illinois
Zip
62231-6407
Phone Number
618-594-3671
Fax Number
618-594-8058
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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