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General Practice Physician · GLEN CARBON, IL

Organization Active NPI 1881213080

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Physician208D00000X
Family Medicine Physician207Q00000X

Other General Practice Physician providers in Illinois

See all General Practice Physician providers in Illinois

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.