Organization directory

<UNAVAIL> fax numbers

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204 BRADFORD LANE, WATERLOO, IL, 62298
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1649464553
Practice address
204 BRADFORD LANE, WATERLOO, IL, 62298
Telephone
(636) 200-4393
Provider specialty
See registry classification 152W00000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(618) 939-6037
NPI 1649464553

204 BRADFORD LANE, WATERLOO, IL, 62298

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source