Memorial Medical Center

NPI #1124446034 in Woodstock, Illinois

Provider Information

NPI Number
1124446034
Entity Type
Organization
Organization Name
Memorial Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
MEMORIAL MEDICAL CENTER
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 29, 2014
Last Updated
Apr 1, 2016

Practice Location

Address
3701 DOTY ROAD
ZIP Code
60098
Phone
(815) 338-2910

Authorized Official

Name
DAVID TOMLINSON
Title
CIO & CFO
Phone
(815) 788-5831

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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