| Memorial Physician Services | |
|
3132 Old Jacksonville Rd Springfield IL 62704-7400 | |
| (217) 862-0800 | |
| (217) 862-0871 |
| Full Name | Memorial Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 3132 Old Jacksonville Rd, Springfield, Illinois |
| Authorized Official Name and Position | James T Dowell (VICE PRESIDENT, MPS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Physician Services Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Memorial Physician Services 3132 Old Jacksonville Rd Springfield IL 62704-7400 Ph: (217) 862-0800 |
| NPI Number | 1174877930 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174877930 | NPI | - | NPPES |
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