Illinois-Indiana Em-I Medical Services S C

NPI #1457503591 in Urbana, Illinois

Provider Information

NPI Number: 1457503591
Entity Type: Organization
Organization Name: Illinois-Indiana Em-I Medical Services S C
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 21, 2008
Last Updated: Jan 4, 2024

Practice Location

Address: 1400 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2334
Phone: (217) 337-2000

Authorized Official

Name: KAREN MARIE VAUGHN
Title: AO
Phone: (404) 450-4684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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