Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Active
Other names
Hoopeston Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BROCKUS (CEO)
(217) 283-8540
Entity
Organization
Contact information
Practice address
701 E ORANGE ST, HOOPESTON, IL 60942-1801
(217) 283-5531
(217) 283-7981
Mailing address
701 E ORANGE ST, PROVIDER ENROLLMENT OFFICE-BWPC, HOOPESTON, IL 60942-1801
(217) 383-6941
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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