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NPI Provider: 1093711905
Contact Name: WEBER K RAYMOND
Position: PRESIDENT
Phone: (618) 288-5088
Family Physicians Of Madison Co.,ltd Information:
Family Physicians Of Madison Co.,ltd organization have npi 1093711905, taxonomy code is 207Q00000X with license number is CH0004495 in . This Business address located in 3 Junction Dr W, Glen Carbon, IL 62034 Illinois. Get directions of Family Physicians Of Madison Co.,ltd.
Practice Location
Address: 3 Junction Dr W, Glen Carbon, IL 62034
Phone: (618) 288-5088
Business Location
Address: 3 Junction Dr W, Glen Carbon, IL 62034
Phone: (618) 288-5088
Taxonomy
Taxonomy Code: 207Q00000X
License Number: CH0004495
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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