Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Active
Other names
Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D EVARD (VP OF REVENUE CYCLE)
(217) 492-9651
Entity
Organization
Contact information
Practice address
301 W LINCOLN ST, SUITE 100, BELLEVILLE, IL 62220-1901
(618) 234-2120
(618) 234-1773
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(618) 234-2120
(618) 234-1773
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
IL
Other
Enumeration date
05/16/2007
Last updated
10/31/2024
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