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Organization

IROQUOIS MEMORIAL HOSPITAL

Active
Other names
IMH MULTI SPECIALTY PHYSICIAN GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS WITTENBORN (BOARD CHAIRMAN)
(815) 432-5841
Entity
Organization

Contact information

Practice address
200 LAIRD LN, WATSEKA, IL 60970-7568
(815) 432-5841
Mailing address
200 LAIRD LN, WATSEKA, IL 60970-7568
(815) 432-5841

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/20/2010
Last updated
04/20/2010
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