CLS MEDICAL INC. NPI 1790980985

NPI Information

  • NPI: 1790980985
  • Provider Name: CLS MEDICAL INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: GOREVILLE FAMILY PRACTICE
  • Address: 200 S BROADWAY
    GOREVILLE, IL
    ZIP 62939
  • Phone: (618) 995-2396

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NPI Details

CLS MEDICAL INC. is a primary care clinic center in Goreville, IL. CLS MEDICAL INC. NPI is 1790980985. The provider is registered as an organization entity type.
The provider Is Doing Business As Goreville Family Practice.

The provider's business location address is:

200 S BROADWAY
GOREVILLE, IL
ZIP 62939-447
Phone: (618) 995-2396
Fax: (618) 995-2947

The provider's authorized official is Crystal L Stangle .
The authorized official title is Owner Ceo and has the following contact phone number (618) 995-2396.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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