NPI 1770973430

Mainway Medical LLC

Organisation Private Vehicle Springfield, IL

Practice location

Address: 3805 NW Territory Dr, Springfield, IL 62711-8241
Phone: (217) 370-9866

Authorised official

Name: Angela Frances Trowbridge
Title: Ceo
Phone: (217) 370-9866

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1770973430
Entity type: Organization
NPI issued: 2 Feb 2015
Record last updated: 2 Feb 2015

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.