Organization
CC MEDICAL CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HWA-LONG CHEN M.D. (PRESIDENT)
(217) 287-7477
Entity
Organization
Contact information
Practice address
1141 N CHENEY ST, TAYLORVILLE, IL 62568-2741
(217) 287-7477
(217) 287-7511
Mailing address
1141 N CHENEY ST, TAYLORVILLE, IL 62568-2741
(217) 287-7477
(217) 287-7511
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
036-049201
IL
Other
Enumeration date
03/21/2007
Last updated
10/26/2015
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