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NPI 1912910688

OrganizationActive

Abundant Life Medical Clinic, LLC

NPI 1912910688 · Legal Medicine · Taylorville, IL

Provider details

NPI number: 1912910688
Entity type: Organization
Primary specialty: Legal MedicineOther Service Providers
Authorized official: Gerry Klinefelter, Office Manager

Practice location

1141 N Cheney St

Taylorville, IL 62568-2741

Phone: (217) 824-2524

Fax: (217) 824-2588

More IL providers

Mailing address

1141 N Cheney St

Taylorville, IL 62568-2741

Registry dates

Enumerated: 2006-08-14
Last updated: 2009-01-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abundant Life Medical Clinic, LLC — NPI 1912910688, Taylorville, IL | NPI Central