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Carlinville Medical Clinic, Inc.
Family Nurse Practitioner in Carlinville, Illinois
NPI 1730213026

Carlinville Medical Clinic, Inc. is a Family Nurse Practitioner based in Carlinville, IL and is specialized in Family. Carlinville Medical Clinic, Inc. practices in Carlinville, IL. The NPI Number for Carlinville Medical Clinic, Inc. is 1730213026 and holds a License No. 036057724 (Illinois).

The current practice location address for Carlinville Medical Clinic, Inc. is 604 N. Broad, Carlinville, IL and can be reached out via phone at 217-854-9411 and via fax at 217-854-2858.

Location: 604 N. Broad, Carlinville, IL, 62626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730213026
Provider Name
Carlinville Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
604 N. Broad, Carlinville, IL, 62626
Phone Number
217-854-9411
Fax Number
217-854-2858
Provider Enumeration Date
03/16/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036057724 05 IL
institution
Provider Business Practice Location Address Details
Address
604 N. Broad
City
Carlinville
State
Illinois
Zip
62626
Phone Number
217-854-9411
Fax Number
217-854-2858
person
Provider Business Mailing Address Details
Address
604 N. Broad
City
Carlinville
State
Illinois
Zip
62626
Phone Number
217-854-9411
Fax Number
217-854-2858
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
209000907 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
036057724 (Illinois)
Definition
Definition to come...
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