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Contact Information

ABUNDANT LIFE MEDICAL CLINIC, LLC
1141 N CHENEY ST
TAYLORVILLE, IL62568-2741
 Phone: 217-824-2524
 Fax: 217-824-2588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for ABUNDANT LIFE MEDICAL CLINIC LLC · (Female)

NPI # 1912910688
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2006
Last updated 01/15/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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