Organization
MACOUPIN FAMILY PRACTICE CENTER, LLP
Active
Other names
Gillespie Family Practice Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE F WEBER MD (DIRECTOR)
(217) 839-4491
Entity
Organization
Contact information
Practice address
715 BROADWAY ST, GILLESPIE, IL 62033-1166
(217) 839-4491
(217) 839-2689
Mailing address
715 BROADWAY ST, GILLESPIE, IL 62033-1166
(217) 839-4491
(217) 839-2689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
04/20/2008
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