MARKET STREET MEDICAL, LLC is a clinic center in Olney, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARKET STREET MEDICAL, LLC NPI is 1831596733. The provider is registered as an organization entity type.
The provider's business location address is:
117 E MARKET ST
OLNEY, IL
ZIP 62450-241
Phone: (618) 392-1301
The provider's authorized official is Kelly S. Eyer .
The authorized official title is Member and has the following contact phone number (618) 392-2395.
The CLIA number assigned to this NPI record is 14D2089488 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.