Organization
FRANKLIN HOSPITAL DISTRICT
Active
Other names
FAMILY HEALTHCARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RIKKI BONTHRON (CFO)
(618) 439-3161
Entity
Organization
Contact information
Practice address
201 BAILEY LANE, BENTON, IL 62812-0000
(618) 439-3161
(618) 439-4049
Mailing address
201 BAILEY LANE, BENTON, IL 62812-0000
(618) 439-3161
(618) 439-4049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085111
IL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
085002236
IL
363LF0000X
Family Nurse Practitioner
209005496
IL
Other
Enumeration date
06/28/2006
Last updated
02/25/2019
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