Organization
JOHN & MARY E KIRBY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D TENHOUSE (CEO)
(217) 762-6148
Entity
Organization
Contact information
Practice address
1111 N STATE ST, MONTICELLO, IL 61856-1151
(217) 762-2115
(217) 762-6165
Mailing address
1111 N STATE ST, MONTICELLO, IL 61856-1151
(217) 762-2115
(217) 762-6165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
11/01/2005
Last updated
08/22/2020
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