Organization
LAMOINE VALLEY CLINIC, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY HAMM (OFFICE MANAGER)
(309) 836-3387
Entity
Organization
Contact information
Practice address
5 DOCTORS LN, MACOMB, IL 61455-3369
(309) 836-3387
(309) 833-1023
Mailing address
5 DOCTORS LN, MACOMB, IL 61455-3369
(309) 836-3387
(309) 833-1023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042618390
IL
Other
Enumeration date
08/31/2005
Last updated
08/02/2010
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