Organization
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Active
Other names
Memorial Express Care at Koke Mill
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T KENDRICK JR. (DIRECTOR)
(217) 757-7493
Entity
Organization
Contact information
Practice address
3132 OLD JACKSONVILLE RD, SUITE 110, SPRINGFIELD, IL 62704-7400
(217) 862-0062
(217) 862-0064
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 757-7491
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
06/16/2008
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