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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEMORIAL PHYSICIAN SERVICES

Active Organization

MEMORIAL PHYSICIAN SERVICES is a Family Nurse Practitioner organization located in SPRINGFIELD, Illinois. NPI 1063961936 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SPRINGFIELD, IL

Registration Details

NPI Number
1063961936
Provider Type
Organization
NPI Issued
Oct 3, 2016 (9.8617611491043 yrs)
Last Updated
Oct 3, 2016
Licenses
209.014926 (IL)
209.014926 (IL)

Practice Information

Address
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL, 627047400
Browse IL providers · Browse ZIP 62704
Phone
2178620800
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in SPRINGFIELD, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.