Organization
JOHN T HALL M.D.
Active
Other names
BENTON RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY D LISENBY PA-C (OFFICE MANAGER)
(618) 435-2505
Entity
Organization
Contact information
Practice address
401 E PARK ST, BENTON, IL 62812-1920
(618) 435-2505
(618) 438-6015
Mailing address
401 E PARK ST, BENTON, IL 62812-1920
(618) 435-2505
(618) 438-6015
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
05/14/2007
Last updated
04/20/2008
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