Organization
MORAINE EMERGENCY PHYSICIANS
Active
Organization
MORAINE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS P WEBSTER D.O. (OWNER/GENERAL PARTNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
4102 MEDICAL CENTER DRIVE, MCHENRY, IL 60050
(815) 344-5000
(815) 759-4293
Mailing address
PO BOX 8759, PHILADELPHIA, PA 19101-8759
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05623906
BLUE SHIELD
IL
Enumeration date
06/16/2006
Last updated
04/20/2008
Update your record
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