Provider First Line Business Practice Location Address:
205 N MAIN ST
Provider Second Line Business Practice Location Address:
HARRISBURG MEDICAL CLINIC
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-253-8450
Provider Business Practice Location Address Fax Number:
618-253-8454
Provider Enumeration Date:
08/03/2006