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Organization
IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC
Active
Organization
IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ORRILL (OPERATIONS MANAGER)
(618) 663-0547
Entity
Organization
Contact information
Practice address
620 N MAIN ST, HOYLETON, IL 62803-2046
(618) 663-0547
(418) 787-0423
Mailing address
620 N MAIN ST, HOYLETON, IL 62803-2046
(618) 663-0547
(418) 787-0423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NONE
IL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/14/2007
Last updated
01/25/2022
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