Organization
NOKOMIS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA CASNER (COO)
(217) 562-2131
Entity
Organization
Contact information
Practice address
107 W STATE ST, NOKOMIS, IL 62075-1658
(217) 563-8343
(217) 563-2285
Mailing address
107 W STATE ST, NOKOMIS, IL 62075-1658
(217) 563-8343
(217) 563-2285
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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