Mid-Illinois Medical Care Associates, LLC
NPI #1477742831 in Teutopolis, Illinois
Provider Information
- NPI Number
- 1477742831
- Entity Type
- Organization
- Organization Name
- Mid-Illinois Medical Care Associates, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Oct 22, 2007
- Last Updated
- Jun 27, 2017
Practice Location
- Address
- 206 N PEARL
- City
- Teutopolis
- State
- Illinois
- ZIP Code
- 62467
- Phone
- (217) 857-6481
Authorized Official
- Name
- DR. EUGENE P. DUST, M.D.
- Title
- PRESIDENT OF LLC
- Phone
- (217) 347-5917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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