Organization · Type 2 NPI

Illinois-Indiana Em-I Medical Services S C

Nurse Practitioner · Urbana, IL

NPI number 1457503591 Active

Practice location

1400 W Park St
Urbana, IL 61801-2334

Fax (217) 337-2930

Mailing address

PO Box 80175
Philadelphia, PA 19101-1175

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

59 other providers at this address

About NPI 1457503591

Illinois-Indiana Em-I Medical Services S C's National Provider Identifier is 1457503591, issued on Oct 21, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Urbana, IL. The record was last updated on Jan 4, 2024.