Organization
MEDEXPRESS URGENT CARE ILLINOIS, P.C,
Active
Other names
MedExpress Urgent Care - Normal, Greenbriar Dr
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
211 GREENBRIAR DRIVE, NORMAL, IL 61761-2287
(309) 268-9807
(309) 268-9769
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
01/10/2017
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