Organization
MACOUPIN FAMILY PRACTICE CENTERS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER K HENRICHS MS. (ADMINISTRATOR)
(217) 839-4491
Entity
Organization
Contact information
Practice address
715 BROADWAY ST, GILLESPIE, IL 62033-1166
(217) 839-4491
(217) 839-2689
Mailing address
715 BROADWAY ST, GILLESPIE, IL 62033-1166
(217) 839-4491
(217) 839-2689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
03/10/2026
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