Heartland Occupational Medicine Physicians of Illinois S C
NPI #1720057730 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1720057730
- Entity Type
- Organization
- Organization Name
- Heartland Occupational Medicine Physicians of Illinois S C
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Feb 12, 2016
Practice Location
- Address
- 4117 S WATER TOWER PL
- Address 2
- SUITE D
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6293
- Phone
- (618) 242-4848
Authorized Official
- Name
- DR. CHARLES W NEAL, M.D.
- Title
- PRESIDENT
- Phone
- (618) 242-4848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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