Organization
HSHS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA CLARK CEO (CEO)
(217) 523-5406
Entity
Organization
Contact information
Practice address
100 W 15TH ST, BEARDSTOWN, IL 62618-1774
(217) 323-2707
(217) 546-7889
Mailing address
3215 EXECUTIVE PARK DR, SPRINGFIELD, IL 62703-4514
(217) 523-5406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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