Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
McDonough District Hospital Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R HOPPER (CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
515 E GRANT ST, SUITE 211, MACOMB, IL 61455-3368
(309) 833-3706
(309) 836-1039
Mailing address
505 E GRANT ST, SUITE 302, MACOMB, IL 61455-3352
(309) 833-2868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036060998
IL
Other
Enumeration date
11/07/2008
Last updated
12/16/2009
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