Organization
BUNKER HILL MEDICAL CLINIC
Active
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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