Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
McDonough Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R HOPPER (CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
525 E GRANT STREET, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1534
Mailing address
525 E GRANT STREET, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1534
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0001438
IL
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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