Lewis Memorial Christian Village
Lewis Memorial Christian Village is a Preferred Provider Organization in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
3400 W Washington StSpringfield, IL 62711-7917
Phone: (217) 787-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 160003483 (IL) |
|---|
Record details
| NPI number | 1417264391 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Hensey — Pta · (217) 787-9600 |
| NPI enumerated | September 13, 2010 |
| Last updated in NPPES | September 13, 2010 |
| Mailing address | 3400 W Washington St, Springfield, IL 62711-7917 |
Other providers in Springfield
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Lewis Memorial Christian Village
3400 W Washington St, Springfield, IL 62711-7917 · (217) 787-9600