| NPI | 1588675482 |
|---|---|
| Doing Business As | MEMORIAL EXPRESS CARE AT KOKE MILL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM T KENDRICK Director 217-757-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-06-16 |