Mid-Illinois Medical Care Associates, LLC

NPI #1568651925 in Effingham, Illinois

Provider Information

NPI Number
1568651925
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
Aug 1, 2017

Practice Location

Address
900 W TEMPLE AVE STE 205
ZIP Code
62401-2187
Phone
(217) 347-0458

Authorized Official

Name
DR. EUGENE P. DUST, M.D.
Title
PRESIDENT OF LLC
Phone
(217) 347-5917

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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