Macoupin Family Practice Center, LLP
Organization Active NPI Family Medicine Physician · Gillespie, IL
NPI 1194915074 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1194915074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MACOUPIN FAMILY PRACTICE CENTER, LLP
- Practice address
- 715 Broadway St
Gillespie, IL 62033-1166 - Phone
- (217) 839-4491
- Fax
- (217) 839-2689
- NPI assigned
- Jul 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bruce F Weber, MD
- Title
- Director
- Phone
- (217) 839-4491
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Macoupin Family Practice Centers LLP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
715 Broadway St
Gillespie, IL 62033-1166
Mailing address
715 Broadway St
Gillespie, IL 62033-1166
Phone (217) 839-4491
Other names
- Gillespie Family Practice Ctr
Other providers in Gillespie, IL
- Macoupin County Public Health Department
- Macoupin County Public Health Department
- Macoupin County Public Health Department
- Macoupin County Public Health Department
- Macoupin County Public Health Department
- Macoupin Family Practice Centers LLP
- Macoupin Family Practice Centers, LLP
- Divya J Makhija
- Jason K Manthei
- Neuropathy Center of Gillespie
All providers in Gillespie, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.