Memorial Physician Services | |
901 W Morton Ave Ste 22 Jacksonville IL 62650-4021 | |
(217) 588-6140 | |
(217) 588-3043 |
Full Name | Memorial Physician Services |
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Speciality | Clinic/Center |
Location | 901 W Morton Ave Ste 22, Jacksonville, Illinois |
Authorized Official Name and Position | Ann Bowling (DIRECTOR) |
Authorized Official Contact | 2175882626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memorial Physician Services Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Memorial Physician Services 901 W Morton Ave Ste 22 Jacksonville IL 62650-4021 Ph: (217) 588-6140 |
NPI Number | 1528741147 |
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Provider Enumeration Date | 08/10/2023 |
Last Update Date | 08/10/2023 |
Medicare PECOS PAC ID | 9032005681 |
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Medicare Enrollment ID | O20231116003214 |
Identifier | Type | State | Issuer |
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1528741147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Central Illinois Snf Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 W Walnut St, Jacksonville, IL 62650 Phone: 630-336-5620 | |
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113 |