institution
Family Practice Medical Center Ltd
Rural Health Clinic/Center in Danville, Illinois
NPI 1659312072

Family Practice Medical Center Ltd is a Rural Health Clinic/Center based in Danville, IL and is specialized in Rural Health. Family Practice Medical Center Ltd practices in Danville, IL. The NPI Number for Family Practice Medical Center Ltd is 1659312072 and holds a License No. 036087566 (Illinois).

The current practice location address for Family Practice Medical Center Ltd is 511 W Fairchild St, Danville, IL and can be reached out via phone at 217-431-2025 and via fax at 217-431-0014.

Location: 511 W Fairchild St, Danville, IL, 61832-3801
institution
Provider Profile Details
NPI Number
1659312072
Provider Name
Family Practice Medical Center Ltd
Credential
Provider Entity Type
Organization
Address
511 W Fairchild St, Danville, IL, 61832-3801
Phone Number
217-431-2025
Fax Number
217-431-0014
Provider Enumeration Date
06/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015566 01 IL HEALTH ALLIANCE
036100736 05 IL
036087566 05 IL
09232019 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
511 W Fairchild St
City
State
Zip
61832-3801
Phone Number
217-431-2025
Fax Number
217-431-0014
person
Provider Business Mailing Address Details
Address
511 W Fairchild St
City
State
Zip
61832-3801
Phone Number
217-431-2025
Fax Number
217-431-0014
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
036087566 (Illinois)
Definition
Definition to come...
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