# MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1578604443
- **Authorized official:** MRS. JULIE ANN RODEMICH OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (618) 281-7457

## Contact information

- **Practice address:** 4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
- **Practice address phone:** (618) 257-5238
- **Mailing address:** 12 JUSTIN DR, COLUMBIA, IL 62236-1981
- **Mailing address phone:** (618) 281-7457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | IL | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020