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METHODIST MEDICAL CENTER OF ILLINOIS NPI 1407174873


NPI Information

NPI: 1407174873
Provider Name: METHODIST MEDICAL CENTER OF ILLINOIS

Doing Business As: METHODIST MEDICAL GROUP AT LACON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1112 5TH ST
LACON, IL
ZIP 61540
Phone: (309) 246-2676
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METHODIST MEDICAL CENTER OF ILLINOIS is a family medicine in Lacon, 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. METHODIST MEDICAL CENTER OF ILLINOIS NPI is 1407174873. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Methodist Medical Group At Lacon.

The provider's business location address is:

1112 5TH ST
LACON, IL
ZIP 61540
Phone: (309) 246-2676
Fax: (309) 246-3574

The provider's authorized official is Stephen M. Cirone .
The authorized official title is Regional Mgr-reimb/rev Recognition and has the following contact phone number (309) 672-4813.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 2/14/2020.


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
1207Q00000XFamily MedicineYes
2261QR1300XClinic/CenterRural HealthNo

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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