Methodist Medical Center of Illinois

NPI #1942528310 in Princeville, Illinois

Provider Information

NPI Number: 1942528310
Entity Type: Organization
Organization Name: Methodist Medical Center of Illinois
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2010
Last Updated: Feb 14, 2020

Practice Location

Address: 223 E MAIN ST
City: Princeville
State: Illinois
ZIP Code: 61559
Phone: (309) 385-4371

Authorized Official

Name: STEPHEN M. CIRONE
Title: REGIONAL MGR-REIMB/REV RECOGNITION
Phone: (309) 672-4813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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