Nolen Clinic Ltd.
Clinic/Center, Health Services in West Frankfort, IL. Organization (NPI-2).
NPI number1326348152
StatusActive
Last updated in NPPESOct 27, 2010
Details
- NPI
- 1326348152
- Entity type
- Organization (NPI-2)
- Legal business name
- Nolen Clinic Ltd.
- Organization subpart
- No
- Enumeration date
- Oct 27, 2010
- Last updated
- Oct 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 038003613 | IL | Yes |
Practice location
107 S Van Buren StWest Frankfort, IL 62896-2907
Phone 618-937-4164 · Fax 618-932-3203
Mailing address
Po Box 8West Frankfort, IL 62896-0008
Phone 618-937-4164 · Fax 618-932-3203
Authorized official
John Alan Nolen
President
6189374164
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