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1104179415
MEMORIAL PHYSICIAN SERVICES
JACKSONVILLE, IL
NPI
1104179415
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Entity Type
Organization
Authorized Contact
JAMES T DOWELL
Vice President, Mps
217-788-3342
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2012-10-24
Last Update Date
2012-10-26
Business Address
MEMORIAL PHYSICIAN SERVICES
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650-1007
Phone number: 217-243-7200
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Mailing Address
MEMORIAL PHYSICIAN SERVICES
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 800-577-5368
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