Organization
GALLATIN RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ITAL (OFFICE MANAGER)
(618) 253-8863
Entity
Organization
Contact information
Practice address
232 LINCOLN BLVD, SHAWNEETOWN, IL 62984
(618) 269-3139
(618) 269-3057
Mailing address
232 LINCOLN BLVD, SHAWNEETOWN, IL 62984
(618) 269-3139
(618) 269-3057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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