Jefferson Street Clinic, SC
Jefferson Street Clinic, SC is a Clinic/Center in Morton, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
107 E Jefferson StMorton, IL 61550-0180
Phone: (309) 266-9711
Fax: (309) 266-6322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (IL) |
|---|
Record details
| NPI number | 1366637258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Patton — President · (309) 266-9711 |
| NPI enumerated | September 13, 2007 |
| Last updated in NPPES | September 13, 2007 |
| Mailing address | 107 E Jefferson St, Po Box 180, Morton, IL 61550-2001 |
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