Organization · Type 2 NPI
CLS Medical Inc.
Primary Care Clinic/Center · Goreville, IL
NPI number
1790980985
Active
Practice location
200 S Broadway
Goreville, IL 62939-2447
Fax (618) 995-2947
Mailing address
PO Box 40, 200 South Broadway Street
Goreville, IL 62939-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1790980985
CLS Medical Inc.'s National Provider Identifier is 1790980985, issued on Jun 18, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Goreville, IL. The record was last updated on Aug 22, 2020.