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Mid-illinois Medical Care Associates, Llc

Mid-illinois Medical Care Associates, Llc is a health care provider in Effingham, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 203 S. Main St., Dieterich, IL 62424, US
Practice Location Phone217-925-5730
Practice Location Fax217-925-5736
Legal Business NameMID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Other Organization NameDIETERICH COMMUNITY MEDICAL CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1568619088
Entity TypeOrganization
Enumeration Date ? Aug 27, 2008
Last Update Date ? Jun 27, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mid-illinois Medical Care Associates, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health 036120332Illinois

legacy-id-icon Legacy Provider IDs of Mid-illinois Medical Care Associates, Llc

Provider IdIssuer StateIssuer TypeIssuer
036120332IllinoisMedicaid

official-icon Authorized Official of Mid-illinois Medical Care Associates, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mid-illinois Medical Care Associates, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Eugene P. Dust (M.D.)
Authorized Official Title/PositionPRESIDENT OF MID-ILLINOIS MEDICAL C
Authorized Official Phone Number217-347-2707