Organization
BELVIDERE EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LARSEN (DIRECTOR OF CREDENTIALING)
(770) 854-5400
Entity
Organization
Contact information
Practice address
1625 S STATE ST, BELVIDERE, IL 61008-5907
(815) 547-5441
Mailing address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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