Organization
HSHS MEDICAL GROUP INC
Active
Other names
HSHS Medical Group Family Medicine - Hillsboro
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WATSON (CFO)
(217) 492-5806
Entity
Organization
Contact information
Practice address
1220 E. TREMONT, SUITE A, HILLSBORO, IL 62049-1509
(217) 532-9471
(217) 532-9476
Mailing address
1220 E. TREMONT, SUITE A, HILLSBORO, IL 62049-1509
(217) 532-9471
(217) 532-9476
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
36046053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371201757001
—
IL
Enumeration date
05/10/2006
Last updated
08/17/2022
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