Organization
BUREAU COUNTY FAMILY HEALTH
Active
Parent organization
COUNTY OF BUREAU
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF BUREAU
Authorized official
MR. HECTOR MANUEL GOMEZ BBA (ADMINISTRATOR)
(815) 872-5091
Entity
Organization
Contact information
Practice address
526 S BUREAU VALLEY PKWY, PRINCETON, IL 61356-2046
(815) 872-5091
(815) 872-5092
Mailing address
526 S BUREAU VALLEY PKWY, PRINCETON, IL 61356-2046
(815) 872-5091
(815) 872-5092
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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