MEMORIAL PHYSICIAN SERVICES NPI 1477614105

NPI Information

  • NPI: 1477614105
  • Provider Name: MEMORIAL PHYSICIAN SERVICES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 14D0435490
  • Address: 515 N COLLEGE ST
    LINCOLN, IL
    ZIP 62656
  • Phone: (217) 732-9681

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NPI Details

MEMORIAL PHYSICIAN SERVICES is a multi-specialty clinic center in Lincoln, IL. MEMORIAL PHYSICIAN SERVICES NPI is 1477614105. The provider is registered as an organization entity type.

The provider's business location address is:

515 N COLLEGE ST
LINCOLN, IL
ZIP 62656-401
Phone: (217) 732-9681
Fax: (217) 735-6527

The provider's authorized official is Edgar J Curtis .
The authorized official title is President And Ceo and has the following contact phone number (217) 788-3340.

The CLIA number assigned to this NPI record is 14D0435490 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 1/16/2013.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1143895MEDICARE OSCAR/CERTIFICATIONILLINOIS

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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