Organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Active
Parent organization
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Other names
Altamont Medical Center, Altamont Clinic, Altamont Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Authorized official
DR. EUGENE P DUST M.D. (PRESIDENT OF LLC)
(217) 347-5917
Entity
Organization
Contact information
Practice address
5 E CUMBERLAND RD, ALTAMONT, IL 62411-1271
(618) 483-6151
(618) 483-6153
Mailing address
1207 NETWORK CENTRE DR STE 3, EFFINGHAM, IL 62401-4632
(217) 347-2707
(217) 347-2827
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
07/21/2022
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