Organization
GENERATION CLINICAL PARTNERS LLC
Active
Other names
GCP Illinois, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAE LIN (OFFICE MANAGER)
(314) 925-0903
Entity
Organization
Contact information
Practice address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(314) 925-0903
(314) 764-2279
Mailing address
PO BOX 14713, BELFAST, ME 04915-4042
(314) 925-0903
(314) 764-2279
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/20/2020
Last updated
03/16/2026
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