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Organization
CHESTER MEDICAL GROUP, LLC
Active
Organization
CHESTER MEDICAL GROUP, LLC
Active
Other names
Steeleville Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARTIN (ADMINISTRATOR)
(618) 826-2388
Entity
Organization
Contact information
Practice address
602 W SHAWNEETOWN TRL, STEELEVILLE, IL 62288-1126
(618) 965-3382
Mailing address
602 W SHAWNEETOWN TRL, STEELEVILLE, IL 62288-1126
(618) 965-3382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/10/2011
Last updated
10/03/2013
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