Memorial Medical Center
NPI #1104888981 in Springfield, Illinois
Provider Information
- NPI Number
- 1104888981
- Entity Type
- Organization
- Organization Name
- Memorial Medical Center
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Jun 14, 2024
Practice Location
- Address
- 701 N 1ST ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62781-0001
- Phone
- (217) 788-3000
Authorized Official
- Name
- JAMESON M ROSZHART
- Title
- PRESIDENT AND CEO
- Phone
- (217) 788-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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