institution
Gadson Clinic
Specialist in Quincy, Illinois
NPI 1528059250

Gadson Clinic is a Specialist based in Quincy, IL. Gadson Clinic practices in Quincy, IL. The NPI Number for Gadson Clinic is 1528059250 and holds a License No. (Illinois).

The current practice location address for Gadson Clinic is 1622 Broadway St, Quincy, IL and can be reached out via phone at 217-223-7911 and via fax at 217-223-7941.

Location: 1622 Broadway St, Quincy, IL, 62301-2817
institution
Provider Profile Details
NPI Number
1528059250
Provider Name
Gadson Clinic
Credential
Provider Entity Type
Organization
Address
1622 Broadway St, Quincy, IL, 62301-2817
Phone Number
217-223-7911
Fax Number
217-223-7941
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16189 01 MO BLUE CROSS OF MISSOURI
018853 01 IL HEALTH ALLIANCE
076559 01 IL QHCM
120152 01 IL BLUE CROSS BLUE SHIELD
138989 01 IL HELATHLINK
institution
Provider Business Practice Location Address Details
Address
1622 Broadway St
City
State
Zip
62301-2817
Phone Number
217-223-7911
Fax Number
217-223-7941
person
Provider Business Mailing Address Details
Address
1622 Broadway St
City
State
Zip
62301-2817
Phone Number
217-223-7911
Fax Number
217-223-7941
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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