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Individual

PHILIP I WOERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 SE CROSS, MENTAL HEALTH CENTERS OF WESTERN ILLINOIS, MT STERLING, IL 62353
(217) 773-3325
(217) 773-2425
Mailing address
238 HEATHERSTONE DR, CHATHAM, IL 62629-8697
(217) 546-3717
(217) 773-2425

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036041485
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036041485
MEDICAL LICENSE
IL
01
336009909
CONT SUBSTANCE
IL
Enumeration date
04/26/2007
Last updated
05/16/2019
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