Progressive Family Care, Ltd

NPI #1972722833 in Waterloo, Illinois

Provider Information

NPI Number: 1972722833
Entity Type: Organization
Organization Name: Progressive Family Care, Ltd
Primary Specialty: Family Medicine
Enumeration Date: Apr 25, 2007
Last Updated: Oct 31, 2008

Practice Location

Address: 509 HAMACHER ST
Address 2: SUITE 103
City: Waterloo
State: Illinois
ZIP Code: 62298-1592
Phone: (618) 939-2273

Authorized Official

Name: DR. MICHAEL NELS KIRK, M.D.
Title: OWNER
Phone: (618) 939-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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