Organization
COUNTY OF MERCER HOSPITAL
Active
Parent organization
COUNTY OF MERCER HOSPITAL
Other names
Mercer County Speciality Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MERCER HOSPITAL
Authorized official
JODIE CRISWELL (CFO)
(309) 582-5301
Entity
Organization
Contact information
Practice address
1007 NW 3RD AVE, SUITE 100, ALEDO, IL 61231-1317
(309) 582-5301
Mailing address
1007 NW 3RD AVE, SUITE 100, ALEDO, IL 61231-1317
(309) 582-5301
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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