Main Street Medical Clinic LLC
Main Street Medical Clinic LLC provides Family Nurse Practitioner services in Benton, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
505 N Main StBenton, IL 62812-1102
Phone: (618) 435-4310
Fax: (618) 435-4384
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X (IL) |
|---|
Record details
| NPI number | 1649345125 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbie Holman — Np · (618) 435-4310 |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 505 N Main St, Benton, IL 62812-1102 |
Other providers in Benton
-
Terri Lynn Braddock-Hartman, APRN, BC
201 Bailey Ln, Benton, IL 62812-1969 · (618) 439-3161
-
Rose Y Grunert, FNP
201 Bailey Ln, Benton, IL 62812-1969 · (618) 439-3161
-
MS. Kayla Lorraine Kimmel, FNP
201 Bailey Ln, Benton, IL 62812-1969 · (618) 218-3690
-
Mrs. Cindy L Lord, FNP
501 N Du Quoin St, Benton, IL 62812-1224 · (618) 435-5362