Moweaqua Family Practice Center, LTD

Organization Active NPI Family Medicine Physician · Moweaqua, IL

NPI 1003988189 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1003988189
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MOWEAQUA FAMILY PRACTICE CENTER, LTD
Practice address
620 N Putnam St
Moweaqua, IL 62550-9418
Phone
(217) 768-3884
Fax
(217) 768-3811
NPI assigned
Nov 14, 2006
Organization subpart
No

Authorized official

Name
Dr. Alan Dale Bilyeu, MD
Title
President
Phone
(217) 768-3884

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X IL Yes

Addresses

Primary practice location

620 N Putnam St
Moweaqua, IL 62550-9418

Mailing address

620 N Putnam St
Moweaqua, IL 62550-9418
Phone (217) 768-3884

Other providers in Moweaqua, IL

All providers in Moweaqua, IL · Family Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.