Genesis Medical Center, Aledo

NPI #1972856854 in Aledo, Illinois

Provider Information

NPI Number: 1972856854
Entity Type: Organization
Organization Name: Genesis Medical Center, Aledo
Subpart: Yes (part of a larger organization)
Parent Organization: GENESIS HEALTH SYSTEM
Primary Specialty: Podiatrist
Enumeration Date: Oct 17, 2012
Last Updated: Jun 28, 2013

Practice Location

Address: 1007 NW 3RD ST STE 100
City: Aledo
State: Illinois
ZIP Code: 61231-1317
Phone: (309) 582-3701

Authorized Official

Name: MR. DOUG CROPPER
Title: CEO
Phone: (563) 421-6510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Martha F Thornton, D.P.M.	Podiatrist	Aledo	AI Deep Dive
Debra E Young, DPM	Podiatrist	Chicago	AI Deep Dive
DR. Thomas J Mack, DPM	Podiatrist	Stickney	AI Deep Dive
DR. Barnett Kai Lung Fung, DPM	Podiatrist	Chicago	AI Deep Dive

Organizations

Provider Name	Specialty	City
County of Mercer Hospital Part of County of Mercer Hospital	Podiatrist	Aledo	AI Deep Dive

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