Organization · Type 2 NPI
Staten Family Practice PLLC
Clinic/Center · Gillespie, IL
NPI number
1407474083
Active
Practice location
500 W Virginia Ave
Gillespie, IL 62033-1025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1407474083
Staten Family Practice PLLC's National Provider Identifier is 1407474083, issued on Jul 9, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gillespie, IL. The record was last updated on Jul 9, 2020.