Organization
PREFERRED CARE MEDICAL CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE MUSSELMAN (PRESIDENT)
(309) 467-5000
Entity
Organization
Contact information
Practice address
1932 S MAIN ST, EUREKA, IL 61530-1666
(309) 467-5000
(309) 467-5100
Mailing address
1932 S MAIN ST, EUREKA, IL 61530-1666
(309) 467-5000
(309) 467-5100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038010710
IL
111N00000X
Chiropractor
038012330
IL
364SF0001X
Family Health Clinical Nurse Specialist
Primary
036074050
IL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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