Steeleville Family Practice
LBN: Chester Clinic Professional Corp.
Steeleville Family Practice is an health care organization with primary practice located at 602 W Shawneetown Trl , Steeleville IL 62288-1126. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Chester Clinic Professional Corp. can be contacted via phone (618) 965-3382, or through Martin, Donna via phone (618) 965-3382.
Contact Information
Primary practice address
602 W Shawneetown Trl
Steeleville IL 62288-1126
Phone: (618) 965-3382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1104144187 |
|---|---|
| LBN Legal business name | Chester Clinic Professional Corp. |
| DBA Doing business as | Steeleville Family Practice |
| Authorized official | Martin, Donna |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 14th, 2010 |
| Last updated | Jul 26th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104144187 | NPPES |
| Other | 962310 | MEDICARE |
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