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CHESTER CLINIC PROFESSIONAL CORP NPI 1235117417


NPI Information

NPI: 1235117417
Provider Name: CHESTER CLINIC PROFESSIONAL CORP

Other Name: STEELEVILLE FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2319 OLD PLANK RD
CHESTER, IL
ZIP 62233
Phone: (618) 826-2388
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CHESTER CLINIC PROFESSIONAL CORP is a family medicine in Chester, IL. The provider is 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. CHESTER CLINIC PROFESSIONAL CORP NPI is 1235117417. The provider is registered as an organization entity type.
The provider Other Name Is Steeleville Family Practice.

The provider's business location address is:

2319 OLD PLANK RD
CHESTER, IL
ZIP 62233
Phone: (618) 826-2388
Fax: (618) 826-3350

The provider's authorized official is Donna M Martin .
The authorized official title is Administrator / Ceo and has the following contact phone number (618) 826-2388.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 6/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QR1300XClinic/CenterRural Health060002310ILLINOISNo
3207Q00000XFamily MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1962310MEDICARE ID-TYPE UNSPECIFIED
2783809MEDICARE OSCAR/CERTIFICATIONILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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