# PENNY ATTAWAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Services Unlimited
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184741175
- **Authorized official:** PENNY ATTAWAY MSN FNP (OWNER, FNP)
- **Authorized official phone:** (618) 842-5285

## Contact information

- **Practice address:** 1411 W MAIN ST, WESTPORT PLAZA, FAIRFIELD, IL 62837-2300
- **Practice address phone:** (618) 842-5285
- **Practice address fax:** (618) 842-4576
- **Mailing address:** 1411 W MAIN ST, WESTPORT PLAZA, FAIRFIELD, IL 62837-2300
- **Mailing address phone:** (618) 842-5285
- **Mailing address fax:** (618) 842-4576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 209001693 | IL | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 01/19/2009