Organization
LEGATUS EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILKINSON MD (HEAD OF THIS FACILITY)
(800) 968-6866
Entity
Organization
Contact information
Practice address
17 GINGER CREEK MDWS, GLEN CARBON, IL 62034-3508
(618) 656-9777
Mailing address
17 GINGER CREEK MDWS, GLEN CARBON, IL 62034-3508
(618) 656-9777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
06/01/2005
Last updated
08/22/2020
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