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Organization
MEMORIAL EXPRESSCARE, LLC
Active
Organization
MEMORIAL EXPRESSCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ENGLAND (VICE PRESIDENT, BUSINESS DEVELOPMEN)
(217) 788-3851
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
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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