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NPI Code Detail

MEDICARE: HEALTHCARE NETWORK ASSOCIATES

MEDICARE: HEALTHCARE NETWORK ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1518976497
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE NETWORK ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 3428
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62708-3428
Country : US
Telephone Number : 217-757-7491
Fax Number : 217-757-2021
Provider Business Practice Location Address
First Line : 1606 W LAFAYETTE AVE
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-3707
Country : US
Telephone Number : 217-245-1421
Fax Number : 217-243-1699
Authorized Official
Title or Position : DIRECTOR
Name : WILLIAM T KENDRICK JR.
Credential :
Telephone Number : 217-757-7493
Provider Enumeration Date : 08/07/2006
Last Update Date : 03/06/2008

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Directions to “HEALTHCARE NETWORK ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.