# FAMILY PRACTICE MEDICAL CENTER LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669654224
- **Authorized official:** DR. GEORGE R GINDI I M.D. (OWNER)
- **Authorized official phone:** (217) 516-0715

## Contact information

- **Practice address:** 302 N MAIN ST, GEORGETOWN, IL 61846-1728
- **Practice address phone:** (217) 662-2282
- **Practice address fax:** (217) 662-6946
- **Mailing address:** 511 W FAIRCHILD ST, DANVILLE, IL 61832-3801
- **Mailing address phone:** (217) 431-2025
- **Mailing address fax:** (217) 431-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 001 | IL | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 07/21/2022
