Organization
CHESTER MEDICAL GROUP, LLC
Active
Other names
Steeleville Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARTIN (ADMINISTRATOR)
(618) 826-2388
Entity
Organization
Contact information
Practice address
602 W SHAWNEETOWN TRL, STEELEVILLE, IL 62288-1126
(618) 965-3382
Mailing address
602 W SHAWNEETOWN TRL, STEELEVILLE, IL 62288-1126
(618) 965-3382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/10/2011
Last updated
10/03/2013
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