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Jefferson Street Clinic, Sc
Clinic/Center in Morton, Illinois
NPI 1366637258

Jefferson Street Clinic, Sc is a Clinic/Center based in Morton, IL. Jefferson Street Clinic, Sc practices in Morton, IL. The NPI Number for Jefferson Street Clinic, Sc is 1366637258 and holds a License No. (Illinois).

The current practice location address for Jefferson Street Clinic, Sc is 107 E Jefferson Street, Morton, IL and can be reached out via phone at 309-266-9711 and via fax at 309-266-6322.

Location: 107 E Jefferson Street, Morton, IL, 61550-2001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366637258
Provider Name
Jefferson Street Clinic, Sc
Credential
Provider Entity Type
Organization
Address
107 E Jefferson Street, Morton, IL, 61550-2001
Phone Number
309-266-9711
Fax Number
309-266-6322
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9015653 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
107 E Jefferson Street
City
Morton
State
Illinois
Zip
61550-0180
Phone Number
309-266-9711
Fax Number
309-266-6322
person
Provider Business Mailing Address Details
Address
107 E Jefferson Street
City
Morton
State
Illinois
Zip
61550-0180
Phone Number
309-266-9711
Fax Number
309-266-6322
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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