Basic Information
| Provider Information | |||||||||
| NPI: | 1053563791 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTORS NURSING & REHAB CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1625 S 6TH ST | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 627032828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2175282244 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1201 HAWTHORN RD | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | IL | ||||||||
| PostalCode: | 628811028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6185484884 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2008 | ||||||||
| LastUpdateDate: | 10/14/2008 | ||||||||
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| AuthorizedOfficialLastName: | STROISCH | ||||||||
| AuthorizedOfficialFirstName: | MARY | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | DIR OF FIN SERV | ||||||||
| AuthorizedOfficialTelephone: | 2175282244 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BX2000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |
No ID Information.