| North Dirksen Medical Associates, Llc | |
|
3220 Atlanta St Springfield IL 62707-8801 | |
| (217) 588-7400 | |
| Not Available |
| Full Name | North Dirksen Medical Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3220 Atlanta St, Springfield, Illinois |
| Authorized Official Name and Position | J. Travis Dowell (VICE PRESIDENT HCNA AND OPERATIONS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Dirksen Medical Associates, Llc Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | North Dirksen Medical Associates, Llc 3220 Atlanta St Springfield IL 62707-8801 Ph: (217) 588-7400 |
| NPI Number | 1063646040 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063646040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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