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NPI Code Detail

MEDICARE: BAILEY FAMILY MEDICINE INC

MEDICARE: BAILEY FAMILY MEDICINE INC
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
1261QP2300XPrimary Care Clinic/Center036-122984IL

General Provider Information

NPI Number : 1427341080
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAILEY FAMILY MEDICINE INC
Provider Business Mailing Address
First Line : 1874 PEBBLESTONE DR
Second Line :
City : ROMEOVILLE
State : IL
Zip : 60446-3915
Country : US
Telephone Number : 815-557-4722
Fax Number :
Provider Business Practice Location Address
First Line : 211 N HAMMES AVE
Second Line :
City : JOLIET
State : IL
Zip : 60435-8113
Country : US
Telephone Number : 815-557-4722
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. TIMMOTHY DON BAILEY
Credential : M.D.
Telephone Number : 815-557-2722
Provider Enumeration Date : 05/16/2011
Last Update Date : 05/16/2011

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Directions to “BAILEY FAMILY MEDICINE INC ” Practice Location

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