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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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