Organization
HARRISBURG FAMILY PRACTICE LTD
Active
Other names
SLOAN MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BOATRIGHT (ADMINISTRATOR)
(618) 252-8625
Entity
Organization
Contact information
Practice address
7211 US HIGHWAY 45 S, SUITE C, CARRIER MILLS, IL 62917
(618) 994-2321
(618) 994-2030
Mailing address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 252-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112962
IL
Other
Enumeration date
02/02/2007
Last updated
05/08/2008
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