Staten Family Practice PLLC
Staten Family Practice PLLC is a Clinic/Center in Gillespie, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
500 W Virginia AveGillespie, IL 62033-1025
Phone: (217) 851-5270
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1407474083 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rosemary Staten — Aprn · (217) 851-5270 |
| Other names | Staten Family Practice Pllc |
| NPI enumerated | July 9, 2020 |
| Last updated in NPPES | July 9, 2020 |
| Certification date | July 9, 2020 |
| Mailing address | 500 W Virginia Ave, Gillespie, IL 62033-1025 |