Organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Active
Parent organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Other names
Dr. George Saliba
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Authorized official
DR. EUGENE P. DUST M.D. (PRESIDENT OF MID-ILLINOIS MEDICAL C)
(217) 347-2707
Entity
Organization
Contact information
Practice address
910 S VAN BUREN ST, NEWTON, IL 62448-1727
(618) 783-3800
(618) 783-5070
Mailing address
1207 NETWORK CENTRE DR, SUITE 3, EFFINGHAM, IL 62401-4632
(217) 347-2707
(217) 347-2827
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
036108589
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108589
—
IL
Enumeration date
03/23/2009
Last updated
03/18/2014
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