# MERIDIAN APP MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467860833
- **Authorized official:** MRS. DIANA YATES CPC-10, CPC-H, CPC-I (DIRECTOR OF BUSINESS SERVICES)
- **Authorized official phone:** (815) 999-3001

## Contact information

- **Practice address:** 1870 SILVER CROSS BLVD, SUITE 240, NEW LENOX, IL 60451-8639
- **Practice address phone:** (815) 514-2600
- **Practice address fax:** (815) 463-0964
- **Mailing address:** 2100 GLENWOOD AVE, JOLIET, IL 60435-5487
- **Mailing address phone:** (815) 725-2121
- **Mailing address fax:** (815) 741-6238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 07/29/2014