Organization
MEMORIAL MEDICAL CENTER
Active
Parent organization
MEMORIAL MEDICAL CENTER
Other names
Memorial Weightloss & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER
Authorized official
ANN BOWLING (DIRECTOR, PHYSICIAN BILLING)
(217) 588-2626
Entity
Organization
Contact information
Practice address
320 E CARPENTER ST, SPRINGFIELD, IL 62702-5185
(217) 788-3948
(217) 527-3209
Mailing address
320 E CARPENTER ST, SPRINGFIELD, IL 62702-5185
(217) 788-3948
(217) 527-3209
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033171343
NPI
IL
Enumeration date
03/17/2022
Last updated
06/14/2024
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