MEDICARE: CLINTON COUNTY

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
1	163WC1500X	Community Health Registered Nurse		IL

General Provider Information

NPI Number	:	1700814704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINTON COUNTY

Provider Business Mailing Address
First Line	:	991 FRANKLIN ST
Second Line	:
City	:	CARLYLE
State	:	IL
Zip	:	62231-1818
Country	:	US
Telephone Number	:	618-594-2723
Fax Number	:	618-594-5474

Provider Business Practice Location Address
First Line	:	991 FRANKLIN ST
Second Line	:
City	:	CARLYLE
State	:	IL
Zip	:	62231-1818
Country	:	US
Telephone Number	:	618-594-2723
Fax Number	:	618-594-5474

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CHRIS J LEIDEL
Credential	:	B.S.
Telephone Number	:	618-594-2723

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/02/2025

Similar Medicare Providers

1568944361 — MRS. BRANDY J SCHEER APRN
Practice Location Address:

991 FRANKLIN ST
CARLYLE, IL
62231-1818

Practice Phone: 618-610-1028
Practice Fax: 618-417-6048

1316779705 — NEW LIFE MIDWEST PLLC
Practice Location Address:

991 FRANKLIN ST
CARLYLE, IL
62231-1818

Practice Phone: 618-610-1028
Practice Fax: 618-417-6048

1659372605 — DR. CHRISTOPHER JOHN RIVERA MD
Practice Location Address:

14509 STATE ROUTE 127
CARLYLE, IL
62231-6485

Practice Phone: 618-594-3613
Practice Fax: 888-859-4347

1518959642 — CARLYLE HEALTHCARE CENTER INC.
Practice Location Address:

501 CLINTON ST
CARLYLE, IL
62231-1503

Practice Phone: 618-594-3112
Practice Fax: 618-594-2393

1124013107 — DR. DEANNA FAE DUCOMB M.D.
Practice Location Address:

1210 JEFFERSON ST
CARLYLE, IL
62231-1323

Practice Phone: 618-594-2454
Practice Fax: 618-594-2404

1427043132 — MICHAEL CUE RIVERA FNP
Practice Location Address:

1110 MULLIKEN ST
CARLYLE, IL
62231-1233

Practice Phone: 618-594-3613
Practice Fax: 888-859-4347

Directions to “CLINTON COUNTY ” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.