Organization
NORRIS CITY HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUNG T NGUYEN M.D., FAAFP (DOCTOR)
(618) 378-3440
Entity
Organization
Contact information
Practice address
110 A EAST MAIN STREET, NORRIS CITY, IL 62869-1503
(618) 378-3440
(618) 378-3562
Mailing address
PO BOX 464, NORRIS CITY, IL 62869-0464
(618) 378-3440
(618) 378-3562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036085969
IL
261QR1300X
Rural Health Clinic/Center
Primary
036085969
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09727246
BCBS
IL
01
—
1679504377
MEDICARE
IL
01
—
560595710
COM
IL
Enumeration date
02/22/2007
Last updated
06/16/2008
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