Organization
MERIDIAN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA YATES CPC (DIRECTOR BUSINESS SERVICES AND COMP)
(815) 999-3001
Entity
Organization
Contact information
Practice address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 999-3001
Mailing address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 999-3001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-084829
IL
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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