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.
|Practice Location|| 203 S. Main St., Dieterich, IL 62424, US |
|Practice Location Phone||217-925-5730|
|Practice Location Fax||217-925-5736|
|Legal Business Name||MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC|
|Other Organization Name||DIETERICH COMMUNITY MEDICAL CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Aug 27, 2008|
|Last Update Date ? ||Jun 27, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Mid-illinois Medical Care Associates, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health ||036120332||Illinois|
Legacy Provider IDs of Mid-illinois Medical Care Associates, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PRESIDENT OF MID-ILLINOIS MEDICAL C|
|Authorized Official Phone Number||217-347-2707|