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Organization

CLS MEDICAL INC.

Active
Other names
Goreville Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL L STANGLE MSHED CEO (OWNER CEO)
(618) 995-2396
Entity
Organization

Contact information

Practice address
200 S BROADWAY, GOREVILLE, IL 62939-2447
(618) 995-2396
(618) 995-2947
Mailing address
PO BOX 40, 200 SOUTH BROADWAY STREET, GOREVILLE, IL 62939-0040
(618) 995-2396
(618) 995-2947

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
06/18/2007
Last updated
08/22/2020
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