Organization
HSHS MEDICAL GROUP INC
Active
Other names
HSHS Medical Group Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA CLARK (CEO)
(217) 492-9696
Entity
Organization
Contact information
Practice address
516 S CHESTNUT ST, WENONA, IL 61377-7526
(815) 853-4402
(815) 853-4200
Mailing address
516 S CHESTNUT ST, WENONA, IL 61377-7526
(815) 853-4402
(815) 853-4200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/27/2014
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