Organization
VISITING DOCTORS NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELI LEAR BSN RN MSHA (OFFICE MANAGER)
(309) 291-0479
Entity
Organization
Contact information
Practice address
618 W JACKSON ST, MORTON, IL 61550-1536
(309) 291-0479
(309) 291-0932
Mailing address
618 W JACKSON ST, MORTON, IL 61550-1536
(309) 291-0479
(309) 291-0932
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
036078962
IL
261Q00000X
Clinic/Center
036078962
IL
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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