Organization · Type 2 NPI

Mendota Community Hospital

Family Medicine Physician · Mendota, IL

NPI number 1407872997 Active

Practice location

1401 East 12th Street
Mendota, IL 61342-9216

Call (815) 539-7461 Map

Fax (815) 538-5516

Mailing address

124 SW Adams St
Peoria, IL 61602-1320

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X0001537 (IL)
Orthopaedic Surgery Physician 207X00000X0001537 (IL)
Surgery Physician 208600000X0001537 (IL)
Physician Assistant 363A00000X0001537 (IL)
Nurse Practitioner 363L00000X0001537 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1407872997

Mendota Community Hospital's National Provider Identifier is 1407872997, issued on Jul 15, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mendota, IL. The record was last updated on Mar 18, 2024.