Organization
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Active
Parent organization
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Other names
Quincy Medical Group, Raymond Smith, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Authorized official
PATTY WOERMAN (CREDENTIALING SPECIALIST)
(217) 222-6550
Entity
Organization
Contact information
Practice address
3301 BROADWAY ST, QUINCY, IL 62301-3713
(217) 277-4070
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036094428
IL
Other
Enumeration date
06/18/2018
Last updated
12/20/2021
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