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“General Practice Physician” (Freeport, IL)

Location: Freeport, IL
Taxonomy: General Practice Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1154284057 — JASMINE L MENDOZA
Practice Location Address:
2946 S WALNUT RD
FREEPORT IL
61032-9528
Practice Phone: 815-235-6173

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