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Organization
HARRISBURG FAMILY PRACTICE LTD
Active
Organization
HARRISBURG FAMILY PRACTICE LTD
Active
Other names
Primary Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BOATRIGHT (ADMINISTRATOR)
(618) 252-8625
Entity
Organization
Contact information
Practice address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 252-2540
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
036042756
IL
Other
Enumeration date
12/30/2005
Last updated
09/22/2011
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