| NPI | 1235117417 |
|---|---|
| Other Name | STEELEVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DONNA M MARTIN Administrator / CEO 618-826-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR1300X Clinic/Center, Rural Health (Licence: IL 060002310) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-06-07 |