Organization
EXPRESS MEDICAL CARE, LLC
Active
Other names
Express Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. HAZLETT (MANAGING PARTNER)
(618) 236-6000
Entity
Organization
Contact information
Practice address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 212-6800
(618) 212-6820
Mailing address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 212-6800
(618) 212-6820
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
07/12/2011
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