Organization
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Active
Other names
Quincy Medical Group Mt. Sterling Affiliate
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY WOERMAN (CREDENTIALING SPECIALIST)
(217) 222-6550
Entity
Organization
Contact information
Practice address
216 PITTSFIELD RD, MT STERLING, IL 62353-1403
(217) 773-3963
Mailing address
216 PITTSFIELD RD, MT STERLING, IL 62353-1403
(217) 773-3963
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
IL
Enumeration date
05/29/2007
Last updated
01/20/2022
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