Organization
DEARNBARGER FAMILY PRACTICE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT M DEARNBARGER M.D. (OWNER)
(217) 621-6595
Entity
Organization
Contact information
Practice address
101 W JEFFERSON ST, SULLIVAN, IL 61951-1914
(217) 621-6595
Mailing address
101 W JEFFERSON ST, SULLIVAN, IL 61951-1914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1602
RAILROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
12/19/2007
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