Hospitalmd of Sparta-Ip, INC

NPI #1225218837 in Sparta, Illinois

Provider Information

NPI Number: 1225218837
Entity Type: Organization
Organization Name: Hospitalmd of Sparta-Ip, INC
Primary Specialty: Hospitalist
Enumeration Date: Nov 12, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 818 E BROADWAY ST
City: Sparta
State: Illinois
ZIP Code: 62286-1820
Phone: (618) 443-2177

Authorized Official

Name: JAMES H BURNETTE
Title: PRESIDENT
Phone: (678) 364-1422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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