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Main Street Medical Clinic LLC

Family Nurse Practitioner in Benton, IL · enumerated 2006 · authorized official Debbie Holman, Np.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649345125

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Medical Clinic LLC
Practice address 505 N Main St, Benton, IL, 62812
Fax (618) 435-4384
Enumeration date Nov 21, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Debbie Holman
Title Np

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Main Street Medical Clinic LLC located?
The practice location on file with NPPES is in Benton, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.