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Western Illinois Surgical Associates, S.c.
Specialist in Macomb, Illinois
NPI 1841314382

Western Illinois Surgical Associates, S.c. is a Specialist based in Macomb, IL. Western Illinois Surgical Associates, S.c. practices in Macomb, IL. The NPI Number for Western Illinois Surgical Associates, S.c. is 1841314382 and holds a License No. (Illinois).

The current practice location address for Western Illinois Surgical Associates, S.c. is 515 E Grant St Ste 211, Macomb, IL and can be reached out via phone at 309-833-3706.

Location: 515 E Grant St Ste 211, Macomb, IL, 61455-3378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841314382
Provider Name
Western Illinois Surgical Associates, S.c.
Credential
Provider Entity Type
Organization
Address
515 E Grant St Ste 211, Macomb, IL, 61455-3378
Phone Number
309-833-3706
Fax Number
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
724860 01 IL REW GROUP PTAN
K46143 01 IL PROVIDER NUMBER
K46871 01 REW PTAN
institution
Provider Business Practice Location Address Details
Address
515 E Grant St Ste 211
City
Macomb
State
Illinois
Zip
61455-3378
Phone Number
309-833-3706
Fax Number
person
Provider Business Mailing Address Details
Address
515 E Grant St Ste 211
City
Macomb
State
Illinois
Zip
61455-3378
Phone Number
309-833-3706
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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