Organization
NORRIS CITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOGENDRA S CHHABRA MD (MEDICAL DIRECTOR)
(618) 378-3440
Entity
Organization
Contact information
Practice address
110 EAST MAIN ST, NORRIS CITY, IL 62869
(618) 378-3440
Mailing address
110 EAST MAIN STREET, P O BOX 464, NORRIS CITY, IL 62869
(618) 378-3440
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
36-112433
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120821814001
—
IL
Enumeration date
06/04/2009
Last updated
06/04/2009
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