NPI 1548540982
Memorial Medical Center (siu)
Practice location
- Address
- 701 N 1st St, Springfield, IL 62702-3757
- Phone
- (217) 545-4735
- Mailing address
- 701 N 1st St., Springfield, IL 62794-9636
Authorised official
- Name
- Tesfaye Telila
- Title
- Resident.
- Phone
- (217) 545-0182
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1548540982
- Entity type
- Organization
- NPI issued
- 17 Aug 2011
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.