Johnston City Medical Clinic, S. C.
NPI #1962428516 in Johnston City, Illinois
Provider Information
- NPI Number
- 1962428516
- Entity Type
- Organization
- Organization Name
- Johnston City Medical Clinic, S. C.
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 201 W BROADWAY BLVD
- City
- Johnston City
- State
- Illinois
- ZIP Code
- 62951-1427
- Phone
- (618) 983-6911
Authorized Official
- Name
- DR. KHALID JAVED, M.D.
- Title
- ADMINISTRATOR
- Phone
- (618) 983-6911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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