Organization
EXPRESS MEDICAL LLC
Active
Organization
EXPRESS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY B CANTRELL (CREDENTIALING SPECIALIST)
(423) 413-3832
Entity
Organization
Contact information
Practice address
11 S WHITE ST STE 104, FRANKFORT, IL 60423-4018
(877) 363-3772
(762) 722-8386
Mailing address
11 S WHITE ST STE 104, FRANKFORT, IL 60423-4018
(877) 363-3772
(762) 722-8386
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277000638
LICENSE
IL
Enumeration date
12/16/2025
Last updated
08/31/2026
Update your record
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