Hunter Reach Family Medicine, Llc | |
98 Peach Ridge Road Anna IL 62906 | |
(618) 614-1400 | |
(618) 614-1401 |
Full Name | Hunter Reach Family Medicine, Llc |
---|---|
Speciality | Family Medicine |
Location | 98 Peach Ridge Road, Anna, Illinois |
Authorized Official Name and Position | Pamela Hunter-reach (OWNER) |
Authorized Official Contact | 6186141400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hunter Reach Family Medicine, Llc 98 Peach Ridge Road Anna IL 62906 Ph: (618) 614-1400 | Hunter Reach Family Medicine, Llc 98 Peach Ridge Road Anna IL 62906 Ph: (618) 614-1400 |
NPI Number | 1073835013 |
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Provider Enumeration Date | 02/18/2010 |
Last Update Date | 11/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073835013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036099509 (Illinois) | Primary |
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