Harrisburg Family Practice Ltd
NPI #1265419261 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1265419261
- Entity Type
- Organization
- Organization Name
- Harrisburg Family Practice Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 30, 2005
- Last Updated
- Sep 22, 2011
Practice Location
- Address
- 117 E CLARK ST
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2702
- Phone
- (618) 252-8625
Authorized Official
- Name
- MICHELLE BOATRIGHT
- Title
- ADMINISTRATOR
- Phone
- (618) 252-8625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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