Organization
JOHN HALL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T HALL M.D. (PRESIDENT/OWNER)
(618) 244-7788
Entity
Organization
Contact information
Practice address
3505 BROADWAY ST, STE A, MOUNT VERNON, IL 62864-2202
(618) 244-7788
(618) 244-9330
Mailing address
3505 BROADWAY ST, STE A, MOUNT VERNON, IL 62864-2202
(618) 244-7788
(618) 244-9330
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
36060706
IL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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