North Dirksen Medical Associates, LLC
NPI #1063646040 in Springfield, Illinois
Provider Information
- NPI Number
- 1063646040
- Entity Type
- Organization
- Organization Name
- North Dirksen Medical Associates, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 6, 2009
- Last Updated
- May 6, 2009
Practice Location
- Address
- 3220 ATLANTA ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62707-8801
- Phone
- (217) 588-7400
Authorized Official
- Name
- J. TRAVIS DOWELL
- Title
- VICE PRESIDENT HCNA AND OPERATIONS
- Phone
- (217) 788-3342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine |
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