Organization
CONVENIENT MEDICAL CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE HOLMAN NP (MANAGER/OWNER)
(618) 923-4310
Entity
Organization
Contact information
Practice address
29 CIRCLE ST, ZEIGLER, ZEIGLER, IL 62999-1148
(618) 923-4310
Mailing address
1403 N MAIN ST, BENTON, IL 62812-1918
(618) 923-4310
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
209001210
IL
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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