Anna Clinic Corp

NPI #1528193299 in Anna, Illinois

Provider Information

NPI Number: 1528193299
Entity Type: Organization
Organization Name: Anna Clinic Corp
Subpart: Yes (part of a larger organization)
Parent Organization: ANNA CLINIC CORP
Primary Specialty: Surgery
Enumeration Date: Feb 22, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 515 N MAIN ST
Address 2: SUITE D
City: Anna
State: Illinois
ZIP Code: 62906-1668
Phone: (618) 833-2872

Authorized Official

Name: DEBBIE T BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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DR. Job B. Pontillas, M.D.	Surgery	Anna	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Union County Hospital District	Surgery	Anna	AI Deep Dive

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