Organization
CENTER FOR YOUR HEALTH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN K MANTELL MD (PHYSICIAN)
(217) 684-2419
Entity
Organization
Contact information
Practice address
501 N LINCOLN ST, PHILO, IL 61864-9653
(217) 684-2419
(217) 684-2356
Mailing address
501 N LINCOLN ST, PHILO, IL 61864
(217) 684-2419
(217) 684-2356
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214177
GROUP
IL
Enumeration date
10/16/2006
Last updated
04/18/2023
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