Protestant Memorial Medical Center, Inc.
NPI #1558979690 in Belleville, Illinois
Provider Information
- NPI Number
- 1558979690
- Entity Type
- Organization
- Organization Name
- Protestant Memorial Medical Center, Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 15, 2020
- Last Updated
- Jul 15, 2020
Practice Location
- Address
- 4500 MEMORIAL DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (618) 257-5613
Authorized Official
- Name
- JANE KAREN GUSMANO
- Title
- VICE PRESIDENT, CFO
- Phone
- (618) 257-5607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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