Organization
DR. DIONISIO DEGRACIA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONISIO U. DEGRACIA (OWNER)
(309) 764-3711
Entity
Organization
Contact information
Practice address
1314 10TH ST, SILVIS, IL 61282
(309) 796-2060
(309) 796-2520
Mailing address
P.O. BOX 130, 1314-10TH ST., SILVIS, IL 61282
(309) 796-2060
(309) 796-2520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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