Memorial Physician Services
NPI #1063961936 in Springfield, Illinois
Provider Information
- NPI Number
- 1063961936
- Entity Type
- Organization
- Organization Name
- Memorial Physician Services
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 3, 2016
- Last Updated
- Oct 3, 2016
Practice Location
- Address
- 3132 OLD JACKSONVILLE RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-7400
- Phone
- (217) 862-0800
Authorized Official
- Name
- LORALEE DONNELLY, FNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (217) 741-5055
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
| Nurse Practitioner - Family — Family |
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