T Clinic LLC

NPI #1750755708 in Mount Vernon, Illinois

Provider Information

NPI Number: 1750755708
Entity Type: Organization
Organization Name: T Clinic LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 4204 WILLIAMSON PL
City: Mount Vernon
State: Illinois
ZIP Code: 62864-6705
Phone: (618) 242-0600

Authorized Official

Name: DR. MOHAMMED HASEEB, MD
Title: PRESIDENT
Phone: (618) 242-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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