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Organization
MACOUPIN FAMILY PRACTICE CENTERS, LLP
Active
Organization
MACOUPIN FAMILY PRACTICE CENTERS, LLP
Active
Other names
Mt Olive Family Practice Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE F WEBER (DIRECTOR)
(217) 999-4751
Entity
Organization
Contact information
Practice address
115 N POPLAR ST, MOUNT OLIVE, IL 62069-1613
(217) 999-4751
Mailing address
115 N POPLAR ST, MOUNT OLIVE, IL 62069-1613
(217) 999-4751
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/20/2007
Last updated
06/09/2023
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