Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
MDH Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BOYD JR. (CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
1600 E JACKSON ST, MACOMB, IL 61455-2530
(309) 833-4101
Mailing address
525 E GRANT ST, MACOMB, IL 61455-3313
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0001438
IL
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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