| Meridian Php Medical Services, Llc | |
|
2100 Glenwood Ave Joliet IL 60435-5487 | |
| (815) 725-2121 | |
| (815) 741-6238 |
| Full Name | Meridian Php Medical Services, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 2100 Glenwood Ave, Joliet, Illinois |
| Authorized Official Name and Position | Diana Yates (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 8159993001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Php Medical Services, Llc 2100 Glenwood Ave Joliet IL 60435-5487 Ph: (815) 725-2121 | Meridian Php Medical Services, Llc 2100 Glenwood Ave Joliet IL 60435-5487 Ph: (815) 725-2121 |
| NPI Number | 1588068555 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588068555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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