Provider First Line Business Practice Location Address:
2920 VETERANS PARKWAY
Provider Second Line Business Practice Location Address:
MT VERNON COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
MT VERNON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-244-6544
Provider Business Practice Location Address Fax Number:
618-244-6577
Provider Enumeration Date:
05/19/2006