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Granite City Clinic Corp
Primary Care Clinic/Center in Madison, Illinois
NPI 1598248106

Granite City Clinic Corp is a Primary Care Clinic/Center based in Granite City, IL and is specialized in Primary Care. Granite City Clinic Corp practices in Madison, IL. The NPI Number for Granite City Clinic Corp is 1598248106 and holds a License No. (Illinois).

The current practice location address for Granite City Clinic Corp is 602 Farrish St, Madison, IL and can be reached out via phone at 618-501-6261.

Location: 602 Farrish St, Madison, IL, 62040-4713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598248106
Provider Name
Granite City Clinic Corp
Credential
Provider Entity Type
Organization
Address
602 Farrish St, Madison, IL, 62040-4713
Phone Number
618-501-6261
Fax Number
Provider Enumeration Date
09/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
602 Farrish St
City
Madison
State
Illinois
Zip
62060-1567
Phone Number
618-501-6261
Fax Number
person
Provider Business Mailing Address Details
Address
602 Farrish St
City
Madison
State
Illinois
Zip
62060-1567
Phone Number
618-501-6261
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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