Organization
WOMENS HEALTH CENTER OF MACOMB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY D ECKMAN M.D. (PRESIDENT)
(309) 833-5959
Entity
Organization
Contact information
Practice address
505 E GRANT ST, SUITE 102, MACOMB, IL 61455-3352
(309) 833-5959
(309) 833-4969
Mailing address
PO BOX 393, MACOMB, IL 61455-0393
(309) 833-2868
(309) 836-3779
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036102265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102265
—
IL
01
—
059558
HEALTH ALLIANCE
IL
01
—
5530096
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/09/2007
Last updated
02/06/2012
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