MAIN STREET MEDICAL CLINIC LLC is a family nurse practitioner in Benton, IL. MAIN STREET MEDICAL CLINIC LLC NPI is 1649345125. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
505 N MAIN ST
BENTON, IL
ZIP 62812-102
Phone: (618) 435-4310
Fax: (618) 435-4384
The provider's authorized official is Debbie Lynn Holman .
The authorized official title is Np and has the following contact phone number (618) 435-4310.
The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.