Chester Clinic Professional Corp.
NPI #1104144187 in Steeleville, Illinois
Provider Information
- NPI Number
- 1104144187
- Entity Type
- Organization
- Organization Name
- Chester Clinic Professional Corp.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHESTER CLINIC PROFESSIONAL CORP.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 14, 2010
- Last Updated
- Jul 26, 2010
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
- PRACTICE ADMINISTRATOR
- Phone
- (618) 965-3382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Rural Health — Rural Health |
| Clinic/Center |
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