Organization
MIDWESTERN EMERGENCY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON WILLIAMS SMITH (CHIEF REVENUE OFFICER)
(770) 874-5400
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
09/08/2016
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