Organization
MEMORIAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BOWLING (DIRECTOR)
(217) 588-2626
Entity
Organization
Contact information
Practice address
901 W MORTON AVE STE 22, JACKSONVILLE, IL 62650-4021
(217) 588-6140
(217) 588-3043
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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