Abundant Life Medical Clinic, Llc

LBN: Abundant Life Medical Clinic, Llc
Abundant Life Medical Clinic, Llc is an health care organization with primary practice located at 1141 N Cheney St , Taylorville IL 62568-2741. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Abundant Life Medical Clinic, Llc can be contacted via phone (217) 824-2524, or through Klinefelter, Gerry A via phone (217) 824-2524.

Contact Information

Primary practice address
1141 N Cheney St Taylorville IL 62568-2741
Phone: (217) 824-2524
Fax: (217) 824-2588
Website:
Map and Directions
Authorized official contact:
Name: Klinefelter, Gerry A
Phone: (217) 824-2524

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1912910688
LBN Legal business name Abundant Life Medical Clinic, Llc
DBA Doing business as
Authorized official Klinefelter, Gerry A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 15th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers