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Contact Information

GENESIS MEDICAL CENTER, ALEDO
1007 NW 3RD ST STE 100
ALEDO, IL61231-1317
 Phone: 309-582-3701
 Fax: 309-582-3737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GENESIS MEDICAL CENTER ALEDO · (Female)

NPI Number 1972856854
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2012
Last updated 06/28/2013 - About 13 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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