Mainway Medical LLC
NPI #1770973430 in Springfield, Illinois
Provider Information
- NPI Number
- 1770973430
- Entity Type
- Organization
- Organization Name
- Mainway Medical LLC
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Feb 2, 2015
Practice Location
- Address
- 3805 NW TERRITORY DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-8241
- Phone
- (217) 370-9866
Authorized Official
- Name
- ANGELA FRANCES TROWBRIDGE, LCSW
- Title
- CEO
- Phone
- (217) 370-9866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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