Organization
FREEPORT MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SIMON GRIDLEY (PRESIDENT/CEO)
(815) 599-6769
Entity
Organization
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
(815) 599-7974
Mailing address
PO BOX 857, FREEPORT, IL 61032-0857
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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