Memorial Physician Services

Family Nurse Practitioner · Springfield, IL

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At a glance

3132 Old Jacksonville Rd, Springfield, IL 62704-7400

NPPES record updated Oct 3, 2016. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

3132 Old Jacksonville Rd
Springfield, IL 62704-7400
Professional details: NPI, taxonomy & registry record
NPI1063961936
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Registry details

Primary taxonomy
Family Nurse Practitioner
Taxonomy code
363LF0000X
Enumeration date
Oct 3, 2016
Record updated
Oct 3, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

General Acute Care Hospital

282N00000X

License reported: 209.014926 IL

Family Nurse Practitioner

363LF0000X · Primary

License reported: 209.014926 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3132 Old Jacksonville Rd
Springfield, IL 62704-7400
Phone
(217) 862-0800
Mailing address
701 N 1ST ST

SPRINGFIELD, IL 627810001
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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