Organization
FAMILY PRACTICE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE RIAD GINDI M.D. (OWNER)
(217) 431-2025
Entity
Organization
Contact information
Practice address
511 W. FAIRCHILD STREET, DANVILLE, IL 61832
(217) 431-2025
(217) 431-0014
Mailing address
511 W. FAIRCHILD STREET, DANVILLE, IL 61832
(217) 431-2025
(217) 431-0014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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