Organization
MEMORIAL PHYSICIAN SERVICES
Active
Other names
Memorial ExpressCare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T DOWELL (PRESIDENT MPS)
(217) 757-7716
Entity
Organization
Contact information
Practice address
701 N 1ST ST, MAILBOX 95, SPRINGFIELD, IL 62781-0001
(800) 577-5368
(217) 757-2021
Mailing address
701 N 1ST ST, MAILBOX 95, SPRINGFIELD, IL 62781-0001
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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