Sanctuary Emergency Physicians, Pllc

NPI #1063885473 in Urbana, Illinois

Provider Information

NPI Number: 1063885473
Entity Type: Organization
Organization Name: Sanctuary Emergency Physicians, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 6, 2015
Last Updated: Nov 6, 2015

Practice Location

Address: 1400 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2334
Phone: (469) 401-2386

Authorized Official

Name: DOUGLAS WEBSTER, D.O.
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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