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NPI Code Detail

MEDICARE: BOND COUNTY TREASURER

MEDICARE: BOND COUNTY TREASURER
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
1251G00000XCommunity Based Hospice Care AgencyIL

General Provider Information

NPI Number : 1881779494
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOND COUNTY TREASURER
Provider Business Mailing Address
First Line : 1520 S 4TH ST
Second Line :
City : GREENVILLE
State : IL
Zip : 62246-2618
Country : US
Telephone Number : 618-664-5020
Fax Number : 618-664-9682
Provider Business Practice Location Address
First Line : 1520 S 4TH ST
Second Line :
City : GREENVILLE
State : IL
Zip : 62246-2618
Country : US
Telephone Number : 618-664-5020
Fax Number : 618-664-9682
Authorized Official
Title or Position : BILLING SPECIALIST
Name : TARA WALTER
Credential :
Telephone Number : 618-664-5020
Provider Enumeration Date : 10/25/2006
Last Update Date : 01/12/2015

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1841327533 — CARRIE JANELLE ACKERMAN LCSW
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1063607992 — DEBORAH SIMCOX
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Directions to “BOND COUNTY TREASURER ” Practice Location

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