Organization
PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZHENQIANG GAO (AUTHORIZED OFFICIAL)
(217) 788-3060
Entity
Organization
Contact information
Practice address
701 N FIRST ST, MEMORIAL MEDICAL CENTER, SPRINGFIELD, IL 62781
(217) 788-3000
(217) 788-5577
Mailing address
6450 RELIABLE PARKWAY, CHICAGO, IL 60686
(217) 788-3000
(217) 788-5577
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
10/11/2023
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