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Fountain Healthcare Limited Liability Company
Family Medicine Physician in Bloomington, Illinois
NPI 1902140585

Fountain Healthcare Limited Liability Company is a Family Medicine Physician based in Princeton, IL. Fountain Healthcare Limited Liability Company practices in Bloomington, IL. The NPI Number for Fountain Healthcare Limited Liability Company is 1902140585 and holds a License No. (Illinois).

The current practice location address for Fountain Healthcare Limited Liability Company is 2412 E Washington St Ste 6, Bloomington, IL and can be reached out via phone at 309-585-2116 and via fax at 309-585-2152.

Location: 2412 E Washington St Ste 6, Bloomington, IL, 61356-1852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902140585
Provider Name
Fountain Healthcare Limited Liability Company
Credential
Provider Entity Type
Organization
Address
2412 E Washington St Ste 6, Bloomington, IL, 61356-1852
Phone Number
309-585-2116
Fax Number
309-585-2152
Provider Enumeration Date
11/20/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
2412 E Washington St Ste 6
City
Bloomington
State
Illinois
Zip
61704-4497
Phone Number
309-585-2116
Fax Number
309-585-2152
person
Provider Business Mailing Address Details
Address
2412 E Washington St Ste 6
City
Bloomington
State
Illinois
Zip
61704-4497
Phone Number
309-585-2116
Fax Number
309-585-2152
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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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.
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