Organization
HAC 2 INC
Active
Other names
HEALTH ONE OF CENTRAL ILLINOIS
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MATTERA (PRESIDENT)
(217) 622-9276
Entity
Organization
Contact information
Practice address
1053 JASON PL, CHATHAM, IL 62629-2018
(217) 483-7431
(217) 483-7491
Mailing address
1053 JASON PL, CHATHAM, IL 62629-2018
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
93013469
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1478634
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2007
Last updated
09/11/2025
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