# OTTAWA MEDICAL CENTER, PC

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

## Provider details

- **NPI number:** 1184649410
- **Authorized official:** MRS. JILL L LOWE (ACCOUNTING CLERK)
- **Authorized official phone:** (815) 431-3265

## Contact information

- **Practice address:** 1614 E NORRIS DR, OTTAWA, IL 61350-3681
- **Practice address phone:** (815) 433-1010
- **Practice address fax:** (815) 433-0067
- **Mailing address:** 1614 E NORRIS DR, OTTAWA, IL 61350-3681
- **Mailing address phone:** (815) 433-1010
- **Mailing address fax:** (815) 433-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 042-000502 | IL | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 06/20/2008