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Organization
JOHN HALL MD RURAL HEALTH SERVICES
Active
Organization
JOHN HALL MD RURAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY D LISENBY PA-C (OFFICE MANAGER)
(618) 244-7788
Entity
Organization
Contact information
Practice address
3505 BROADWAY ST STE A, MOUNT VERNON, IL 62864-2202
(618) 244-7788
(618) 244-9330
Mailing address
3505 BROADWAY ST STE A, MOUNT VERNON, IL 62864-2202
(618) 244-7788
(618) 244-9330
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
05/08/2007
Last updated
04/20/2008
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