| Organization Name: | BAYVIEW FAMILY CLINIC |
| NPI Number: | 1255788501 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY A RATTS (CLINIC DIRECTOR) |
| Mailing Address: | 206 Burwash Ave Savoy |
| State: | IL US |
| Postal Code: | 618749510 |
| Phone Number: | 2173563400 |
| Fax Number: | 2178660122 |
| NPI Enumeration Date: | 05/17/2016 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 209014228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |