Organization
METHODIST MEDICAL CENTER OF ILLINOIS
Active
Other names
Methodist Medical Group at Lacon
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M. CIRONE (REGIONAL MGR-REIMB/REV RECOGNITION)
(309) 672-4813
Entity
Organization
Contact information
Practice address
1112 5TH ST, LACON, IL 61540
(309) 246-2676
(309) 246-3574
Mailing address
5100 RELIABLE PKWY, CHICAGO, IL 60686-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/11/2010
Last updated
02/14/2020
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