Physicians Group Associates S C

NPI #1841216975 in Springfield, Illinois

Provider Information

NPI Number
1841216975
Entity Type
Organization
Organization Name
Physicians Group Associates S C
Subpart
Yes (part of a larger organization)
Parent Organization
PHYSICIANS GROUP ASSOCIATES SC
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 14, 2006
Last Updated
Sep 26, 2014

Practice Location

Address
2901 OLD JACKSONVILLE RD
ZIP Code
62704-7437
Phone
(217) 698-9722

Authorized Official

Name
JAMES LAFATA, M.D.
Title
PRESIDENT
Phone
(217) 698-9722

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner

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