Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illinois-Indiana Em-I Medical Services S C

Organization Emergency Medicine Physician · NPI 1457503591

Illinois-Indiana Em-I Medical Services S C is an Emergency Medicine Physician in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
3

Practice location Address checks out

1400 W Park St
Urbana, IL 61801-2334
Phone: (217) 337-2000
Fax: (217) 337-2930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (IL)
Emergency Medicine Physician Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X (IL)

Record details

NPI number1457503591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Ao · (404) 450-4684
NPI enumeratedOctober 21, 2008
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing addressPo Box 80175, Philadelphia, PA 19101-1175

Other providers in Urbana