Medexpress Urgent Care Illinois, P.C.
Clinic/Center, Urgent Care in Peoria, IL. Organization (NPI-2).
NPI number1205367802
StatusActive
Last updated in NPPESMar 24, 2017
Details
- NPI
- 1205367802
- Entity type
- Organization (NPI-2)
- Legal business name
- Medexpress Urgent Care Illinois, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 24, 2017
- Last updated
- Mar 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – |
Other names
- Medexpress Urgent Care - Peoria, N Big Hollow Rd (Doing Business As)
Practice location
5038 N Big Hollow RoadPeoria, IL 61615-3510
Phone 309-691-5690 · Fax 309-691-5687
Mailing address
1001 Consol Energy DrCanonsburg, PA 15317-6506
Phone 304-225-2500 · Fax 724-743-1133
Authorized official
Brett Gall
Director Payor Contracting
3042252500
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