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Organization
EXPRESS MEDICAL CARE, LLC
Active
Organization
EXPRESS MEDICAL CARE, LLC
Active
Other names
Express Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. HAZLETT (MANAGING PARTNER)
(618) 236-6000
Entity
Organization
Contact information
Practice address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 212-6800
(618) 212-6820
Mailing address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 212-6800
(618) 212-6820
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/23/2010
Last updated
07/12/2011
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