Physician Management Services of Illinois Ii, LLC
NPI #1558829754 in Greenville, Illinois
Provider Information
- NPI Number
- 1558829754
- Entity Type
- Organization
- Organization Name
- Physician Management Services of Illinois Ii, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VAXCARE CORPORATION
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 6, 2019
- Last Updated
- Mar 6, 2019
Practice Location
- Address
- 1000 RED BALL TRL
- City
- Greenville
- State
- Illinois
- ZIP Code
- 62246-2781
- Phone
- (888) 829-8550
Authorized Official
- Name
- BRETT KENEFICK
- Title
- PRESIDENT
- Phone
- (888) 829-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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