locust street clinic – Physician Assistant, NPI 1760625669

locust street clinic is a healthcare provider. based in Eldorado, Illinois. specializing in Physician Assistant. The NPI Number for locust street clinic is 1760625669

Main info

Organization
Name
locust street clinic
NPI
1760625669
Phone
(618) 273-3361
Address
1407 LOCUST ST
Authorized Official
H WILLIAM HARTLEY CEO/ADMINISTRATOR
Enumeration Date
8 April 2009
Last Update Date
8 April 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for locust street clinic

  • 1407, Locust Street, Beulah Heights, Eldorado, Saline County, Illinois, 62930, United States

    ELDORADO, IL 629301629

    Phone: (618) 273-3361

    Fax: (618) 273-5501

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62930)

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Reviews

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Frequently asked questions

How do payers reference locust street clinic?
For locust street clinic, use NPI 1760625669 as the unique 10-digit identifier.
Is locust street clinic still an active registrant?
locust street clinic carries an active NPI according to the public dataset.
What expertise is attributed to locust street clinic?
locust street clinic's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is locust street clinic registered?
Use Eldorado, Illinois as the headline location for locust street clinic here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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