Organization
SEECURE BILLING MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HETAL PATEL M.D. (OWNER)
(618) 531-9533
Entity
Organization
Contact information
Practice address
1509 LAKE LAND BLVD, MATTOON, IL 61938-5913
(618) 531-9533
Mailing address
1509 LAKE LAND BLVD, MATTOON, IL 61938-5913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036125902
IL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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