Organization
OTTAWA MEDICAL CENTER, PC
Active
Organization
OTTAWA MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL L LOWE (ACCOUNTING CLERK)
(815) 431-3265
Entity
Organization
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
(815) 433-0067
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
042-000502
IL
Other
Enumeration date
07/13/2006
Last updated
06/20/2008
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