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Organization
GERMANTOWN HILLS MEDICAL CENTER SC
Active
Organization
GERMANTOWN HILLS MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTOPHER KELL M.D. (PRESIDENT)
(309) 383-2323
Entity
Organization
Contact information
Practice address
107 ELIZABETH POINTE DR, GERMANTOWN HILLS, IL 61548-9471
(309) 383-2323
(309) 383-2367
Mailing address
107 ELIZABETH POINTE DR, GERMANTOWN HILLS, IL 61548-9471
(309) 383-2323
(309) 383-2367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036100702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-100702
—
IL
Enumeration date
11/24/2008
Last updated
01/06/2009
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