MAIN STREET MEDICAL CLINIC LLC

Nurse Practitioner - Family

Active Organization
NPI: 1649345125

Practice Address

505 N MAIN ST
Benton, IL 62812

Phone: (618) 435-4310

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes -

Frequently Asked Questions

NPI 1649345125 is the National Provider Identifier for MAIN STREET MEDICAL CLINIC LLC, a Nurse Practitioner - Family provider located in Benton, IL. This NPI was enumerated on November 21, 2006.

Quick Facts

NPI
1649345125
Type
Organization
Enumerated
Nov 21, 2006
Last Updated
Aug 22, 2020

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