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Organization

MACOUPIN FAMILY PRACTICE CENTERS, LLP

Active
Other names
Carlinville Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN L QUARTON MD (DIRECTOR)
(217) 854-4319
Entity
Organization

Contact information

Practice address
15574 ROUTE 108, CARLINVILLE, IL 62626-4091
(217) 854-4319
(217) 854-2765
Mailing address
15574 ROUTE 108, CARLINVILLE, IL 62626-4091
(217) 854-4319
(217) 854-2765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649460510
IL
Enumeration date
07/27/2007
Last updated
05/04/2021
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