Family Medical Center of Chatham, LLC

NPI #1992956528 in Chatham, Illinois

Provider Information

NPI Number: 1992956528
Entity Type: Organization
Organization Name: Family Medical Center of Chatham, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 1, 2008
Last Updated: Oct 1, 2008

Practice Location

Address: 101 E PLUMMER BLVD
City: Chatham
State: Illinois
ZIP Code: 62629-8047
Phone: (217) 483-3487

Authorized Official

Name: J. TRAVIS DOWELL
Title: VICE PRESIDENT HCNA AND OPERATIONS
Phone: (217) 788-3342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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