Vine Street Clinical Associates, LLC
Vine Street Clinical Associates, LLC is a Psychiatry Physician in Springfield, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3225 Hedley RdSpringfield, IL 62711-6248
Phone: (217) 726-7300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | Taxonomy 364SP0809X |
Record details
| NPI number | 1356625966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | J Travis Dowell — Vice President Mps And Operations · (217) 788-3342 |
| NPI enumerated | September 30, 2011 |
| Last updated in NPPES | September 30, 2011 |
| Mailing address | Po Box 3428, Springfield, IL 62708-3428 |
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