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Organization
GAPS HEALTH IL, S.C.
Active
Organization
GAPS HEALTH IL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY HUNTER (DIRECTOR OF OPERATIONS)
(734) 812-0996
Entity
Organization
Contact information
Practice address
1599 KEOKUK ST, HAMILTON, IL 62341-1137
(217) 847-3931
(217) 847-2067
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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