Organization
GERMANTOWN HILLS MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTOPHER KELL M.D. (PRESIDENT)
(309) 383-2323
Entity
Organization
Contact information
Practice address
107 ELIZABETH POINTE DR, GERMANTOWN HILLS, IL 61548-9471
(309) 383-2323
(309) 383-2367
Mailing address
107 ELIZABETH POINTE DR, GERMANTOWN HILLS, IL 61548-9471
(309) 383-2323
(309) 383-2367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036100702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-100702
—
IL
Enumeration date
11/24/2008
Last updated
01/06/2009
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