Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Other names
IMH St. Anne Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FOX (DIRECTOR MEDICAL STAFF & IT SVCS)
(815) 432-5841
Entity
Organization
Contact information
Practice address
135 W STATION ST, SAINT ANNE, IL 60964-7251
(815) 432-5841
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-7775
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
05/26/2023
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