Market Street Medical, LLC

NPI #1831596733 in Olney, Illinois

Provider Information

NPI Number
1831596733
Entity Type
Organization
Organization Name
Market Street Medical, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Nov 21, 2014
Last Updated
Nov 21, 2014

Practice Location

Address
117 E MARKET ST
City
Olney
ZIP Code
62450-2241
Phone
(618) 392-1301

Authorized Official

Name
KELLY S. EYER, FNP-BC
Title
MEMBER
Phone
(618) 392-2395

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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