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ACE MEDICAL SERVICES LLC NPI 1144753096


NPI Information

NPI: 1144753096
Provider Name: ACE MEDICAL SERVICES LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
929 RIDGECREST DR
BELLEVILLE, IL
ZIP 62220
Phone: (618) 340-3225
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ACE MEDICAL SERVICES LLC is a family nurse practitioner in Belleville, IL. ACE MEDICAL SERVICES LLC NPI is 1144753096. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

929 RIDGECREST DR
BELLEVILLE, IL
ZIP 62220-163
Phone: (618) 340-3225

The provider's authorized official is Katrina Smith .
The authorized official title is Admin and has the following contact phone number (219) 513-9019.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 4/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine209011911ILLINOISNo
2363LF0000XNurse PractitionerFamily209011911ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1209011911MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.