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Robert D Childers Md Sc
Clinic/Center in Jerseyville, Illinois
NPI 1699962498

Robert D Childers Md Sc is a Clinic/Center based in Jerseyville, IL. Robert D Childers Md Sc practices in Jerseyville, IL. The NPI Number for Robert D Childers Md Sc is 1699962498 and holds a License No. (Illinois).

The current practice location address for Robert D Childers Md Sc is 400 Maple Summit Rd, Jerseyville, IL and can be reached out via phone at 618-498-8470 and via fax at 618-498-8488.

Location: 400 Maple Summit Rd, Jerseyville, IL, 62052-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699962498
Provider Name
Robert D Childers Md Sc
Credential
Provider Entity Type
Organization
Address
400 Maple Summit Rd, Jerseyville, IL, 62052-2028
Phone Number
618-498-8470
Fax Number
618-498-8488
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG2287 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
400 Maple Summit Rd
City
Jerseyville
State
Illinois
Zip
62052-2028
Phone Number
618-498-8470
Fax Number
618-498-8488
person
Provider Business Mailing Address Details
Address
400 Maple Summit Rd
City
Jerseyville
State
Illinois
Zip
62052-2028
Phone Number
618-498-8470
Fax Number
618-498-8488
person
Provider's Taxonomy Details 1
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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