Family Practice Associates of Macomb Ltd

NPI #1154306397 in Macomb, Illinois

Provider Information

NPI Number: 1154306397
Entity Type: Organization
Organization Name: Family Practice Associates of Macomb Ltd
Primary Specialty: Family Medicine
Enumeration Date: Dec 9, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 505 E GRANT ST
Address 2: SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
City: Macomb
State: Illinois
ZIP Code: 61455-3352
Phone: (309) 833-1733

Authorized Official

Name: MR. JACK LEE MCPHERSON, MD
Title: PRESIDENT
Phone: (309) 833-1733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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