Organization
LEWIS MEMORIAL CHRISTIAN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MCGHEE (CHIEF FINANCIAL OFFICER)
(314) 587-7903
Entity
Organization
Contact information
Practice address
3400 W WASHINGTON ST, SPRINGFIELD, IL 62711-7917
(217) 793-4062
(217) 787-9601
Mailing address
3400 W WASHINGTON ST, SPRINGFIELD, IL 62711-7917
(217) 793-4062
(217) 787-9601
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0021436
IL
Other
Enumeration date
03/24/2009
Last updated
12/11/2013
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