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Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Active
Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Active
Other names
Hoopeston Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BROCKUS (CEO)
(217) 283-8540
Entity
Organization
Contact information
Practice address
701 E ORANGE ST, HOOPESTON, IL 60942-1801
(217) 283-5531
(217) 283-7981
Mailing address
701 E ORANGE ST, PROVIDER ENROLLMENT OFFICE-BWPC, HOOPESTON, IL 60942-1801
(217) 383-6941
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
NULL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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