MEMORIAL MEDICAL CENTER NPI 1164954806

NPI Information

  • NPI: 1164954806
  • Provider Name: MEMORIAL MEDICAL CENTER
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: CARDIOLOGY PROFEES
  • Address: 701 N 1ST ST
    SPRINGFIELD, IL
    ZIP 62781
  • Phone: (217) 788-3000

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NPI Details

MEMORIAL MEDICAL CENTER is a cardiovascular disease internal medicine in Springfield, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MEMORIAL MEDICAL CENTER NPI is 1164954806. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiology Profees.

The provider's business location address is:

701 N 1ST ST
SPRINGFIELD, IL
ZIP 62781-001
Phone: (217) 788-3000

The provider's authorized official is Jameson M Roszhart .
The authorized official title is President & Ceo and has the following contact phone number (217) 788-3000.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 6/14/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 11/21/2025

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