Organization
MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC
Active
Organization
MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC
Active
Other names
Express Care of Mt Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE LYNN FOSTER MD (SHAREHOLDER/DIRECTOR)
(618) 315-6575
Entity
Organization
Contact information
Practice address
1104 S 42ND ST, MOUNT VERNON, IL 62864-6216
(618) 315-6575
Mailing address
1104 S 42ND ST, MOUNT VERNON, IL 62864-6216
(618) 315-6575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/11/2013
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