# AHEARN & ASSOCIATES MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114036308
- **Authorized official:** DR. MICHAEL A AHEARN M.D. (M.D.)
- **Authorized official phone:** (309) 853-2442

## Contact information

- **Practice address:** 513 ELLIOTT ST, SUITE 4, KEWANEE, IL 61443-2797
- **Practice address phone:** (309) 853-2442
- **Practice address fax:** (309) 853-2435
- **Mailing address:** 519 ELLIOTT ST STE S1, KEWANEE, IL 61443-2776
- **Mailing address phone:** (309) 853-2442
- **Mailing address fax:** (309) 853-2435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/21/2022