| Memorial Medical Group After Hours Clinic | |
|
310 N Seven Hills Rd O Fallon IL 62269-4111 | |
| (618) 622-2581 | |
| (618) 622-2593 |
| Full Name | Memorial Medical Group After Hours Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 310 N Seven Hills Rd, O Fallon, Illinois |
| Authorized Official Name and Position | James B Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6186222581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Group After Hours Clinic 4500 Memorial Drive Memorial Hospital Medical Affairs Credentialing Dept Belleville IL 62226 Ph: (618) 257-4644 | Memorial Medical Group After Hours Clinic 310 N Seven Hills Rd O Fallon IL 62269-4111 Ph: (618) 622-2581 |
| NPI Number | 1396142139 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396142139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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