Organization · Type 2 NPI
Physicians Group Associates SC
Rural Health Clinic/Center · New Berlin, IL
NPI number
1366779282
Active
Practice location
111 N Main St
New Berlin, IL 62670-4593
Fax (217) 488-3508
Mailing address
PO Box 500
Chatham, IL 62629-0500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 036064159 (IL) |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | 209-003289 (IL) |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in New Berlin
About NPI 1366779282
Physicians Group Associates SC's National Provider Identifier is 1366779282, issued on Nov 13, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in New Berlin, IL. The record was last updated on Jul 24, 2013.