Chester Medical Group, LLC

NPI #1043597610 in Steeleville, Illinois

Provider Information

NPI Number: 1043597610
Entity Type: Organization
Organization Name: Chester Medical Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 10, 2011
Last Updated: Oct 3, 2013

Practice Location

Address: 602 W SHAWNEETOWN TRL
City: Steeleville
State: Illinois
ZIP Code: 62288-1126
Phone: (618) 965-3382

Authorized Official

Name: DONNA MARTIN
Title: ADMINISTRATOR
Phone: (618) 826-2388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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