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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