| NPI Details | |
|---|---|
| NPI | 1023263043 |
| Enumeration Date | 11/18/2008 |
| Last Updated | 11/18/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 8 years ago |
| Authorized Information | |
|---|---|
| Name | ROBYN L ROBYN |
| Position | ADMINISTRATOR |
| Phone | (217) 588-7932 |
| Fax | (217) 529-9803 |
| Practice Location | |
|---|---|
| 200 W LAKE DR BUILDING C SPRINGFIELD IL, 62703-4956, US |
|
| Phone | (217) 588-7932 |
| Fax | (217) 529-9803 |
| Business Location | |
|---|---|
| 710 N 8TH ST SPRINGFIELD IL, 62702-6324, US |
|
| Phone | (217) 525-1064 |
| Fax | (217) 525-1651 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 320800000X |
| License State | |
| License Number | |
| Remove 1023263043 NPI Number | |
According to our database, West Lake Residential - Building C NPI is 1023263043, taxonomy code is 320800000X West Lake Residential - Building C physically located at 200 W Lake Dr, Springfield IL, 62703-4956. NPI Number 1033115704 has the healthcare provider type.
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1023263043 NPI number is provided on an as is basis without warranty of any kind. 1023263043 is maintained by the National Plan & Provider Enumeration System. The contents of West Lake Residential - Building C are for informational purposes only.
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