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Organization
HARRISBURG FAMILY PRACTICE LTD
Active
Organization
HARRISBURG FAMILY PRACTICE LTD
Active
Other names
SLOAN MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BOATRIGHT (ADMINISTRATOR)
(618) 252-8625
Entity
Organization
Contact information
Practice address
7211 US HIGHWAY 45 S, SUITE C, CARRIER MILLS, IL 62917
(618) 994-2321
(618) 994-2030
Mailing address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 252-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112962
IL
Other
Enumeration date
02/02/2007
Last updated
05/08/2008
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