# CC MEDICAL CLINIC SC

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

## Provider details

- **NPI number:** 1952427163
- **Authorized official:** DR. HWA-LONG CHEN M.D. (PRESIDENT)
- **Authorized official phone:** (217) 287-7477

## Contact information

- **Practice address:** 1141 N CHENEY ST, TAYLORVILLE, IL 62568-2741
- **Practice address phone:** (217) 287-7477
- **Practice address fax:** (217) 287-7511
- **Mailing address:** 1141 N CHENEY ST, TAYLORVILLE, IL 62568-2741
- **Mailing address phone:** (217) 287-7477
- **Mailing address fax:** (217) 287-7511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 036-049201 | IL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 10/26/2015