Medical Service Corporation Sc

NPI #1093150567 in Streator, Illinois

Provider Information

NPI Number: 1093150567
Entity Type: Organization
Organization Name: Medical Service Corporation Sc
Primary Specialty: General Practice
Enumeration Date: May 9, 2013
Last Updated: Nov 13, 2013

Practice Location

Address: 104 W 6TH ST STE 206
City: Streator
State: Illinois
ZIP Code: 61364-2864
Phone: (815) 252-1805

Authorized Official

Name: MRS. AGNES WILSON, RN
Title: RN
Phone: (815) 252-1805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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