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Organization

ESA SC

Active
Other names
EFFINGHAM SURGICAL ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BILLYE JO RITCHEY (OFFICE MANAGER)
(217) 347-2565
Entity
Organization

Contact information

Practice address
900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 62401-2186
(217) 347-2500
(217) 342-9775
Mailing address
900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 62401-2186
(217) 347-2500
(217) 342-9775

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042006074
IL

Other

Enumeration date
08/09/2006
Last updated
11/19/2014
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