Memorial Physician Services

NPI #1174877930 in Springfield, Illinois

Provider Information

NPI Number: 1174877930
Entity Type: Organization
Organization Name: Memorial Physician Services
Primary Specialty: Family Medicine
Enumeration Date: Nov 1, 2012
Last Updated: Jun 11, 2020

Practice Location

Address: 3132 OLD JACKSONVILLE RD
City: Springfield
State: Illinois
ZIP Code: 62704-7400
Phone: (217) 862-0800

Authorized Official

Name: JAMES T DOWELL
Title: VICE PRESIDENT, MPS
Phone: (217) 788-3342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker - Clinical — Clinical	1041C0700X
Internal Medicine	207R00000X
Pediatrics	208000000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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