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Miskell Medical Llc
Family Nurse Practitioner in Ottawa, Illinois
NPI 1750756979

Miskell Medical Llc is a Family Nurse Practitioner based in Ottawa, IL and is specialized in Family. Miskell Medical Llc practices in Ottawa, IL. The NPI Number for Miskell Medical Llc is 1750756979 and holds a License No. 209009286 (Illinois).

The current practice location address for Miskell Medical Llc is 218 W Madison St, Ottawa, IL and can be reached out via phone at 815-431-1122 and via fax at 815-431-0318.

Location: 218 W Madison St, Ottawa, IL, 61350-2819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750756979
Provider Name
Miskell Medical Llc
Credential
Provider Entity Type
Organization
Address
218 W Madison St, Ottawa, IL, 61350-2819
Phone Number
815-431-1122
Fax Number
815-431-0318
Provider Enumeration Date
12/14/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710256631 01 IL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
218 W Madison St
City
Ottawa
State
Illinois
Zip
61350-2819
Phone Number
815-431-1122
Fax Number
815-431-0318
person
Provider Business Mailing Address Details
Address
218 W Madison St
City
Ottawa
State
Illinois
Zip
61350-2819
Phone Number
815-431-1122
Fax Number
815-431-0318
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209009286 (Illinois)
Definition
Definition to come...
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