Provider Demographics
NPI:1134582521
Name:MIHELCIC, JOHN AMBROSE (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:AMBROSE
Last Name:MIHELCIC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1285 FRANCISCAN DR
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62056-1778
Mailing Address - Country:US
Mailing Address - Phone:217-324-1001
Mailing Address - Fax:217-324-4522
Practice Address - Street 1:1285 FRANCISCAN DR
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:IL
Practice Address - Zip Code:62056-1778
Practice Address - Country:US
Practice Address - Phone:618-339-5751
Practice Address - Fax:217-324-4522
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2021-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY52789207Q00000X
IL036.153454207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine