Organization
OVERSTREET ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY E OVERSTREET HIS (PRESIDENT)
(618) 531-9610
Entity
Organization
Contact information
Practice address
1521 W WALNUT ST, JACKSONVILLE, IL 62650-1151
(217) 243-7333
(217) 243-8111
Mailing address
1300 STRAUBE LN, BRIGHTON, IL 62012-2116
(618) 531-9610
(217) 243-8111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0889
IL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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