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Organization
HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC
Active
Organization
HEALOGICS SPECIALTY PHYSICIANS OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WILLIAM (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(616) 433-7066
(314) 653-4088
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3451
(904) 446-3032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/29/2014
Last updated
06/01/2023
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