Illinois-Indiana Em-I Medical Services S C

NPI #1821240953 in Danville, Illinois

Provider Information

NPI Number: 1821240953
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: 812 N LOGAN AVE
City: Danville
State: Illinois
ZIP Code: 61832-3752
Phone: (217) 443-5221

Authorized Official

Name: KAREN 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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