Organization · Type 2 NPI

Fountain Healthcare Limited Liability Company

Family Medicine Physician · Bloomington, IL

NPI number 1902140585 Active

Practice location

2412 E Washington St Ste 6
Bloomington, IL 61704-4497

Call (309) 585-2116 Map

Fax (309) 585-2152

Mailing address

612 E Peru St
Princeton, IL 61356-1852

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

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.

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About NPI 1902140585

Fountain Healthcare Limited Liability Company's National Provider Identifier is 1902140585, issued on Nov 20, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Sep 21, 2016.