# MEMORIAL PHYSICIAN SERVICES

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

## Provider details

- **NPI number:** 1477614105
- **Authorized official:** EDGAR J CURTIS (PRESIDENT AND CEO)
- **Authorized official phone:** (217) 788-3340

## Contact information

- **Practice address:** 515 N COLLEGE ST, LINCOLN, IL 62656-1401
- **Practice address phone:** (217) 732-9681
- **Practice address fax:** (217) 735-6527
- **Mailing address:** PO BOX 3428, SPRINGFIELD, IL 62708-3428
- **Mailing address phone:** (800) 577-5368
- **Mailing address fax:** (217) 757-2021

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 01/16/2013