Heartland Pediatric Clinic

NPI #1053413740 in Marion, Illinois

Provider Information

NPI Number
1053413740
Entity Type
Organization
Organization Name
Heartland Pediatric Clinic
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Sep 2, 2006
Last Updated
Sep 1, 2020

Practice Location

Address
1000 W DEYOUNG ST
City
Marion
ZIP Code
62959-1630
Phone
(618) 993-5274

Authorized Official

Name
DR. LUIS ALBERTO LOPEZ, M.D.
Title
PRESIDENT/PHYSICIAN
Phone
(618) 993-5274

Specialties & Taxonomy Codes

Specialty
Pediatrics
Clinic/Center - Rural HealthRural Health

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