Ten Broeck Tennessee Physicians Group INC
NPI #1396321410 in Murphysboro, Illinois
Provider Information
- NPI Number
- 1396321410
- Entity Type
- Organization
- Organization Name
- Ten Broeck Tennessee Physicians Group INC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 19, 2021
- Last Updated
- Mar 19, 2021
Practice Location
- Address
- 2 S HOSPITAL DR
- City
- Murphysboro
- State
- Illinois
- ZIP Code
- 62966-3333
- Phone
- (618) 684-3156
Authorized Official
- Name
- GLENDA F GUY
- Title
- DIRECTOR COMPLIANCE
- Phone
- (931) 607-6513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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