Progressive Family Care Ltd.

NPI #1710159686 in Columbia, Illinois

Provider Information

NPI Number: 1710159686
Entity Type: Organization
Organization Name: Progressive Family Care Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: PROGRESSIVE FAMILY CARE LTD
Primary Specialty: Family Medicine
Enumeration Date: Mar 31, 2008
Last Updated: Oct 31, 2008

Practice Location

Address: 208 N MAIN ST
Address 2: SUITE H
City: Columbia
State: Illinois
ZIP Code: 62236-1756
Phone: (618) 281-2273

Authorized Official

Name: DR. MICHAEL NELS KIRK, M.D.
Title: PRESIDENT
Phone: (618) 281-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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