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MEMORIAL EXPRESSCARE LLC NPI 1750532362


NPI Information

NPI: 1750532362
Provider Name: MEMORIAL EXPRESSCARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3132 OLD JACKSONVILLE RD
SUITE 110
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 862-0062
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MEMORIAL EXPRESSCARE, LLC is a family medicine in Springfield, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEMORIAL EXPRESSCARE, LLC NPI is 1750532362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3132 OLD JACKSONVILLE RD
SUITE 110
SPRINGFIELD, IL
ZIP 62704-400
Phone: (217) 862-0062
Fax: (217) 862-0064

The provider's authorized official is Kevin England .
The authorized official title is Vice President, Business Developmen and has the following contact phone number (217) 788-3851.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 10/2/2008.


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
1207P00000XEmergency MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
42083X0100XPreventive MedicineOccupational MedicineNo
5363L00000XNurse PractitionerNo
6207Q00000XFamily MedicineYes

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: 4/28/2024

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