# ILLINOIS/INDIANA EM-I MEDICAL SERVICES, S.C.

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

## Provider details

- **NPI number:** 1659679363
- **Authorized official:** DR. DOUGLAS P WEBSTER D.O. (OWNER)
- **Authorized official phone:** (800) 732-1066

## Contact information

- **Practice address:** 1314 E WALNUT ST, WASHINGTON, IN 47501-2860
- **Practice address phone:** (812) 254-2760
- **Mailing address:** PO BOX 80175, PHILADELPHIA, PA 19101-1175
- **Mailing address phone:** (800) 355-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/03/2011
- **Last updated:** 03/21/2018