# HSHS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HSHS Medical Group Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316358187
- **Authorized official:** MS. MELINDA CLARK (CEO)
- **Authorized official phone:** (217) 492-9696

## Contact information

- **Practice address:** 516 S CHESTNUT ST, WENONA, IL 61377-7526
- **Practice address phone:** (815) 853-4402
- **Practice address fax:** (815) 853-4200
- **Mailing address:** 516 S CHESTNUT ST, WENONA, IL 61377-7526
- **Mailing address phone:** (815) 853-4402
- **Mailing address fax:** (815) 853-4200

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2014
- **Last updated:** 05/27/2014