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Organization

MCDONOUGH COUNTY HOSPITAL DISTRICT

Active
Other names
Bushnell Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILL W MURDOCK (CEO)
(309) 833-4101
Entity
Organization

Contact information

Practice address
1150 N COLE ST, BUSHNELL, IL 61422-9503
(309) 772-9444
(309) 772-9446
Mailing address
525 E GRANT ST, SUITE 302, MACOMB, IL 61455-3313

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
IL
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036062336
IL
01
148952
MEDICARE - RURAL HEALTH
IL
01
5515957
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
12/31/2012
Last updated
02/20/2025
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