Memorial Medical Center (siu) | |
701 N 1st St Springfield IL 62702-3757 | |
(217) 545-4735 | |
Not Available |
Full Name | Memorial Medical Center (siu) |
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Speciality | Psychiatric Unit |
Location | 701 N 1st St, Springfield, Illinois |
Authorized Official Name and Position | Tesfaye Telila (RESIDENT.) |
Authorized Official Contact | 2175450182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Memorial Medical Center (siu) 701 N 1st St. Springfield IL 62794-9636 Ph: () - | Memorial Medical Center (siu) 701 N 1st St Springfield IL 62702-3757 Ph: (217) 545-4735 |
NPI Number | 1548540982 |
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Provider Enumeration Date | 08/17/2011 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1548540982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (Illinois) | Primary |
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