Illinois/indiana Em-I Medical Services, Sc
NPI #1841511995 in Granite City, Illinois
Provider Information
- NPI Number
- 1841511995
- Entity Type
- Organization
- Organization Name
- Illinois/indiana Em-I Medical Services, Sc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 11, 2010
- Last Updated
- Jul 28, 2015
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4701
- Phone
- (800) 732-1066
Authorized Official
- Name
- DR. DOUGLAS P WEBSTER, DO
- Title
- OWNER
- Phone
- (800) 732-1066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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