Illinois Department Of Human Services
Specialty details in registry · Centralia, IL
At a glance
1535 W Mccord St, Centralia, IL 62801-5805
NPPES record updated Dec 22, 2016. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1535 W Mccord StCentralia, IL 62801-5805
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 315P00000X
- Enumeration date
- Jan 23, 2007
- Record updated
- Dec 22, 2016
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
315P00000X · Primary
Specialty details in registry
320600000X
License reported: 805-8000 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1535 W Mccord StCentralia, IL 62801-5805
- Phone
- (618) 532-1811
Mailing address
1535 W MCCORD STCENTRALIA, IL 628015805
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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