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Organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Active
Organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Active
Parent organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Other names
Drs. Bishop and Flynn
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Authorized official
DR. EUGENE P. DUST M.D. (PRESIDENT OF LLC)
(217) 347-5917
Entity
Organization
Contact information
Practice address
512 N MAPLE ST, EFFINGHAM, IL 62401-2005
(217) 347-7030
(217) 347-7049
Mailing address
1207 NETWORK CENTRE DR STE 3, EFFINGHAM, IL 62401-2186
(217) 347-2707
(217) 347-2827
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/22/2007
Last updated
06/27/2017
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