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General NPI Number Information
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NPI Number | 1992041511
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Entity Type | Organization
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Legal Business Name | MCDONOUGH COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 12/31/2012
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1150 N COLE ST
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City | BUSHNELL
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State | IL
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Zip | 61422-9503
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Country | US
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Telephone | 309-772-9444
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Fax | 309-772-9446
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Provider Business Mailing Address
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Address Line | 525 E GRANT ST SUITE 302
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City | MACOMB
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State | IL
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Zip | 61455-3313
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BILL W MURDOCK
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Credential |
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Telephone | 309-833-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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