Organization
EMERGE MEDSTAFFING LLC
Active
Parent organization
EMERGE MEDSTAFFING LLC
Other names
Emerge Quick Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERGE MEDSTAFFING LLC
Authorized official
RICHARD WATSON MD (PRESIDENT/ CEO)
(708) 887-8110
Entity
Organization
Contact information
Practice address
20180 S LAGRANGE RD, FRANKFORT, IL 60423-3153
(779) 333-7965
Mailing address
20180 S LAGRANGE RD, FRANKFORT, IL 60423-3153
(779) 333-7965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001780167841
—
IL
Enumeration date
10/04/2022
Last updated
01/29/2025
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