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Organization
FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
Active
Organization
FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LEE MCPHERSON MD (PRESIDENT)
(309) 833-1733
Entity
Organization
Contact information
Practice address
505 E GRANT ST, SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD, MACOMB, IL 61455-3352
(309) 833-1733
(309) 836-2369
Mailing address
505 E GRANT ST, SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD, MACOMB, IL 61455-3352
(309) 833-1733
(309) 836-2369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
12/09/2005
Last updated
08/22/2020
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