Organization
MEMORIAL MEDICAL CENTER
Active
Parent organization
MEMORIAL MEDICAL CENTER
Other names
Memorial Weightloss & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER
Authorized official
ANN BOWLING (DIRECTOR/PHYSICIAN BILLING)
(217) 788-3000
Entity
Organization
Contact information
Practice address
320 E CARPENTER ST, SPRINGFIELD, IL 62702-5185
(217) 788-3948
(217) 527-3209
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 788-3000
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033171343
MMC NPI
IL
Enumeration date
04/26/2022
Last updated
06/17/2024
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