# JOHN T HALL M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BENTON RURAL HEALTH CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841405610
- **Authorized official:** MS. CATHY D LISENBY PA-C (OFFICE MANAGER)
- **Authorized official phone:** (618) 435-2505

## Contact information

- **Practice address:** 401 E PARK ST, BENTON, IL 62812-1920
- **Practice address phone:** (618) 435-2505
- **Practice address fax:** (618) 438-6015
- **Mailing address:** 401 E PARK ST, BENTON, IL 62812-1920
- **Mailing address phone:** (618) 435-2505
- **Mailing address fax:** (618) 438-6015

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 04/20/2008