Staten Family Practice Pllc - Gillespie, IL

Staten Family Practice Pllc

Clinic/Center in Gillespie, Illinois

NPI 1407474083

Staten Family Practice Pllc is a Clinic/Center based in Gillespie, IL. Staten Family Practice Pllc practices in Gillespie, IL. The NPI Number for Staten Family Practice Pllc is 1407474083 and holds a License No. (Illinois).

The current practice location address for Staten Family Practice Pllc is 500 W Virginia Ave, Gillespie, IL and can be reached out via phone at 217-851-5270.

Location: 500 W Virginia Ave, Gillespie, IL, 62033-1025

NPI Number

1407474083

Provider Name

Staten Family Practice Pllc

Credential

Provider Entity Type

Organization

Address

500 W Virginia Ave, Gillespie, IL, 62033-1025

Phone Number

217-851-5270

Fax Number

Provider Enumeration Date

07/09/2020

Last Update Date

03/10/2024

Address

500 W Virginia Ave

City

Gillespie

State

Illinois

Zip

62033-1025

Phone Number

217-851-5270

Fax Number

Address

500 W Virginia Ave

City

Gillespie

State

Illinois

Zip

62033-1025

Phone Number

217-851-5270

Fax Number

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

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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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