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Organization
SPRINFIELD CLINIC LLP
Active
Organization
SPRINFIELD CLINIC LLP
Active
Other names
Springfield Clinic Mt Pulaski Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY BRYANT (CEO)
(217) 528-7541
Entity
Organization
Contact information
Practice address
509 E CHESTNUT ST, MOUNT PULASKI, IL 62548-1008
(217) 792-3756
Mailing address
1025 S 7TH ST, SPRINGFIELD, IL 62703-2416
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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