Genesis Health System

NPI #1205942083 in Alpha, Illinois

Provider Information

NPI Number: 1205942083
Entity Type: Organization
Organization Name: Genesis Health System
Primary Specialty: Family Medicine
Enumeration Date: Aug 22, 2006
Last Updated: Sep 29, 2009

Practice Location

Address: 202 PICARD STREET
City: Alpha
State: Illinois
ZIP Code: 61413
Phone: (309) 629-4601

Authorized Official

Name: MR. MARK G ROGERS
Title: VICE PRESIDENT OF FINANCE
Phone: (563) 421-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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