Genesis Health System

NPI #1023124831 in Erie, Illinois

Provider Information

NPI Number: 1023124831
Entity Type: Organization
Organization Name: Genesis Health System
Primary Specialty: Family Medicine
Enumeration Date: Aug 22, 2006
Last Updated: Apr 16, 2015

Practice Location

Address: 530 12TH ST
City: Erie
State: Illinois
ZIP Code: 61250-9461
Phone: (309) 659-2215

Authorized Official

Name: MR. MARK G ROGERS
Title: VICE PRESIDENT OF FINANCE
Phone: (563) 421-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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