| Innovative Care Express Series 1 | |
|
1325 W Whittaker St Suite 3 Salem IL 62881-2007 | |
| (618) 548-2400 | |
| Not Available |
| Full Name | Innovative Care Express Series 1 |
|---|---|
| Speciality | Family Medicine |
| Location | 1325 W Whittaker St, Salem, Illinois |
| Authorized Official Name and Position | Steven N Scott (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 6188422491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Care Express Series 1 Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Innovative Care Express Series 1 1325 W Whittaker St Suite 3 Salem IL 62881-2007 Ph: (618) 548-2400 |
| NPI Number | 1285010272 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285010272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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