Organization
SPRINGFIELD ELDER CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH CARLSON APRN (OWNER)
(217) 391-6301
Entity
Organization
Contact information
Practice address
1808 S BATES AVE, SPRINGFIELD, IL 62704-3354
(217) 391-6301
(713) 344-9420
Mailing address
PO BOX 431, STILWELL, KS 66085-0431
(217) 391-6301
(713) 344-9420
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN209006847
IL
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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