Macoupin Family Practice Center, LLP

NPI #1194915074 in Gillespie, Illinois

Provider Information

NPI Number: 1194915074
Entity Type: Organization
Organization Name: Macoupin Family Practice Center, LLP
Primary Specialty: Family Medicine
Enumeration Date: Jul 27, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 715 BROADWAY ST
City: Gillespie
State: Illinois
ZIP Code: 62033-1166
Phone: (217) 839-4491

Authorized Official

Name: DR. BRUCE F WEBER, MD
Title: DIRECTOR
Phone: (217) 839-4491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Macoupin Family Practice Centers LLP	Family Medicine	Gillespie	AI Deep Dive

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