Organization
LIBERTY MEDICAL CENTER INC
Active
Organization
LIBERTY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RABIA KHAN (OFFICE MANAGER)
(815) 942-8080
Entity
Organization
Contact information
Practice address
425 E US ROUTE 6, SUITE A, MORRIS, IL 60450-9042
(815) 942-8080
(815) 513-5267
Mailing address
425 E US ROUTE 6, SUITE A, MORRIS, IL 60450-9042
(815) 942-8080
(815) 513-5267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-087831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-087831
—
IL
Enumeration date
04/10/2007
Last updated
07/09/2014
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