Organization
HSHS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA CLARK (CEO)
(217) 523-5406
Entity
Organization
Contact information
Practice address
2329 N DIRKSEN PKWY, SPRINGFIELD, IL 62702-1403
(217) 789-1403
Mailing address
3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
(217) 523-5406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/03/2016
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