Organization
IEMS PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIM (AUTHORIZED OFFICIAL)
(516) 252-3939
Entity
Organization
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2000
(844) 440-1733
Mailing address
901 S 2ND ST STE 201, SPRINGFIELD, IL 62704-7909
(312) 560-2917
(844) 440-1733
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/18/2024
Last updated
05/08/2025
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