Ranchero Clinic, LLC

NPI #1093606519 in Charleston, Illinois

Provider Information

NPI Number: 1093606519
Entity Type: Organization
Organization Name: Ranchero Clinic, LLC
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Jul 12, 2025
Last Updated: Jul 12, 2025

Practice Location

Address: 825 18TH ST STE 238
City: Charleston
State: Illinois
ZIP Code: 61920-2940
Phone: (447) 219-1594

Authorized Official

Name: DR. BERNIE C RANCHERO, MD
Title: OWNER-PRESIDENT
Phone: (447) 219-1163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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