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Organization

BUNKER HILL MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGG L. LAWS M.D. (DOCTOR)
(618) 585-6290
Entity
Organization

Contact information

Practice address
144 NORTH WASHINGTON STREET, BUNKER HILL, IL 62014
(618) 585-6290
(618) 585-6293
Mailing address
PO BOX 323, BUNKER HILL, IL 62014-0323
(618) 585-6290
(618) 585-6293

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036063415
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036063415
IL
01
134799
HEALTHLINK
01
9900567
BLUE CROSS BLUE SHIELD
IL
01
C43578
UPIN
Enumeration date
07/23/2007
Last updated
03/25/2009
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