Organization
COMPREHENSIVE EMERGENCY SOLUTIONS SC
Active
Organization
COMPREHENSIVE EMERGENCY SOLUTIONS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G SOWARDS JR. MD (AUTHORIZED OFFICIAL)
(877) 485-4474
Entity
Organization
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61603-4307
(309) 672-5522
Mailing address
DEPT 960347, OKLAHOMA CITY, OK 73196-0347
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7232106
BCBS
IL
01
—
DC5362
RAILROAD MEDICARE
IL
Enumeration date
04/05/2006
Last updated
08/05/2010
Update your record
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