Organization
ILLINOIS EMERGENCY PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
1001 EAST MORGAN STREET, CARLINVILLE, IL 62626-1448
(217) 854-3141
(217) 854-8591
Mailing address
75 REMIT DR # 1122, CHICAGO, IL 60675-1122
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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