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Organization
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Active
Organization
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Active
Other names
Memorial Express Care at Koke Mill
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T KENDRICK JR. (DIRECTOR)
(217) 757-7493
Entity
Organization
Contact information
Practice address
3132 OLD JACKSONVILLE RD, SUITE 110, SPRINGFIELD, IL 62704-7400
(217) 862-0062
(217) 862-0064
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 757-7491
(217) 757-2021
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
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/10/2006
Last updated
06/16/2008
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