Organization
EAGLE FAMILY MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT BEVILL MD (PHYSICIAN/PRESIDENT)
(309) 446-3305
Entity
Organization
Contact information
Practice address
111 E KNOXVILLE ST, BRIMFIELD, IL 61517-8022
(309) 446-3305
(309) 446-9072
Mailing address
111 E KNOXVILLE ST, BRIMFIELD, IL 61517-8022
(309) 446-3305
(309) 446-9072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208745
MEDICARE GROUP NUMBER
IL
01
—
K37812
MEDICARE PROVIDER NUMBER
IL
Enumeration date
08/02/2005
Last updated
07/21/2022
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