Tremont Medical Clinic SC
Organization Active NPI Family Medicine Physician · Tremont, IL
NPI 1669464178 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1669464178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- TREMONT MEDICAL CLINIC SC
- Practice address
- 105 S Locust St
Tremont, IL 61568-0187 - Phone
- (309) 925-2961
- Fax
- (309) 925-4221
- NPI assigned
- Aug 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Hobart Don Blair II, MD
- Title
- President
- Phone
- (309) 925-2961
Practitioners 6
-
Daniel E Baer, MD
-
Jana Bruesch, PT
-
Kristi S Kroenlein, MS FNP APN BC FNP
-
Ann E Alton, DPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | IL | Yes |
Addresses
Primary practice location
105 S Locust St
Tremont, IL 61568-0187
Mailing address
105 S Locust St
PO Box 187
Tremont, IL 61568-0187
Phone (309) 925-2961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015656 | Other | BCBS | |
| C10889 | Other | RAILROAD MEDICARE |
Other providers in Tremont, IL
- Smalltown Dental Tremont
- Tazewell County Resource Centers, Inc.
- Tazewell County Resource Centers, Inc.
- Tremont 702 Rescue Squad
- Tremont Community Unit School District # 702
- Tremont Village Pharmacy Inc
- Tri County Anesthesia S.C.
- Amber Marie Vicary
- Visual Language Professionals, LLC
- Amanda J Waremburg
All providers in Tremont, 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 Jul 21, 2022. 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.