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Organization
PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD
Active
Organization
PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZHENQIANG GAO (AUTHORIZED OFFICIAL)
(217) 788-3060
Entity
Organization
Contact information
Practice address
701 N FIRST ST, MEMORIAL MEDICAL CENTER, SPRINGFIELD, IL 62781
(217) 788-3000
(217) 788-5577
Mailing address
6450 RELIABLE PARKWAY, CHICAGO, IL 60686
(217) 788-3000
(217) 788-5577
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
10/11/2023
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