Organization
HMC PHYSICIAN GROUP LLC
Active
Parent organization
HOPEDALE MEDICAL FOUNDATION
Other names
Hopedale Medical Complex
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEDALE MEDICAL FOUNDATION
Authorized official
EMILY WHITSON (COO)
(309) 449-4296
Entity
Organization
Contact information
Practice address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4338
Mailing address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4338
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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