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Organization

EVERSIDE HEALTH, SPRINGFIELD-MONTVALE DR.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization

Contact information

Practice address
2930 MONTVALE DR STE C, SPRINGFIELD, IL 62704-5376
(773) 697-3144
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
10/30/2020
Last updated
03/27/2023
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