Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
MDH Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY BOYD (CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
505 E GRANT ST, SUITE 202, MACOMB, IL 61455-3352
(309) 833-1729
Mailing address
505 E GRANT ST, SUITE 202, MACOMB, IL 61455-3352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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