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Organization

I & O LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA HASTIE MD (OWNER)
(618) 521-2446
Entity
Organization

Contact information

Practice address
147 N MAIN ST, ELIZABETHTOWN, IL 62931-4463
(618) 499-4070
Mailing address
4225 LINCOLNSHIRE DR STE B, MOUNT VERNON, IL 62864-2157
(618) 318-8416
(618) 242-9710

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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