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Organization

EFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY HUNT HALLER M.D. (MEMBER)
(217) 342-3337
Entity
Organization

Contact information

Practice address
912 N HENRIETTA ST, EFFINGHAM, IL 62401
(217) 342-3337
(217) 347-3328
Mailing address
PO BOX 784, EFFINGHAM, IL 62401-0784
(217) 342-3337
(217) 347-3328

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
261QR1300X
Rural Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371326540002
IL
Enumeration date
12/01/2014
Last updated
11/08/2023
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