Organization
MASON HOSPITAL DISTRICT
Active
Other names
Manito Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L LAYTON (DIRECTOR OF CLINIC OPERATIONS)
(309) 543-6600
Entity
Organization
Contact information
Practice address
1301 S EAST AVE, MANITO, IL 61546
(309) 968-5311
Mailing address
PO BOX 530, HAVANA, IL 62644-0530
(309) 543-6600
(309) 543-2089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/14/2016
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