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Organization
JOHNSTON CITY MEDICAL CLINIC, S. C.
Active
Organization
JOHNSTON CITY MEDICAL CLINIC, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID JAVED M.D. (ADMINISTRATOR)
(618) 983-6911
Entity
Organization
Contact information
Practice address
201 W BROADWAY BLVD, JOHNSTON CITY, IL 62951-1427
(618) 983-6911
(618) 983-6913
Mailing address
201 W BROADWAY BLVD, P. O. BOX 209, JOHNSTON CITY, IL 62951-1427
(618) 983-6911
(618) 983-6913
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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