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Organization

MACOUPIN FAMILY PRACTICE CENTERS, LLP

Active
Other names
Mt Olive Family Practice Ctr
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE F WEBER MD (DIRECTOR)
(217) 839-4491
Entity
Organization

Contact information

Practice address
115 N POPLAR ST, MOUNT OLIVE, IL 62069-1613
(217) 999-4751
(217) 999-2317
Mailing address
115 N POPLAR ST, MOUNT OLIVE, IL 62069-1613
(217) 999-4751
(217) 999-2317

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/27/2007
Last updated
12/11/2025
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