Organization
HEARTLAND OCCUPATIONAL MEDICINE PHYSICIANS OF ILLINOIS S C
Active
Other names
UltiMed Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W NEAL M.D. (PRESIDENT)
(618) 242-4848
Entity
Organization
Contact information
Practice address
4117 S WATER TOWER PL, SUITE D, MOUNT VERNON, IL 62864-6293
(618) 242-4848
(618) 242-4198
Mailing address
4117 S WATER TOWER PL, SUITE D, MOUNT VERNON, IL 62864-6293
(618) 242-4848
(618) 242-4198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036079719
IL
Other
Enumeration date
03/14/2006
Last updated
02/12/2016
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