Chester Clinic Professional Corp

NPI #1235117417 in Chester, Illinois

Provider Information

NPI Number
1235117417
Entity Type
Organization
Organization Name
Chester Clinic Professional Corp
Primary Specialty
Family Medicine
Enumeration Date
Jan 6, 2006
Last Updated
Jun 7, 2010

Practice Location

Address
2319 OLD PLANK RD
ZIP Code
62233
Phone
(618) 826-2388

Authorized Official

Name
MS. DONNA M MARTIN
Title
ADMINISTRATOR / CEO
Phone
(618) 826-2388

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - Rural HealthRural Health
Family Medicine

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