| Vine Street Clinical Associates, Llc | |
|
3225 Hedley Rd Springfield IL 62711-6248 | |
| (217) 726-7300 | |
| Not Available |
| Full Name | Vine Street Clinical Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3225 Hedley Rd, Springfield, Illinois |
| Authorized Official Name and Position | J Travis Dowell (VICE PRESIDENT MPS AND OPERATIONS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Street Clinical Associates, Llc Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Vine Street Clinical Associates, Llc 3225 Hedley Rd Springfield IL 62711-6248 Ph: (217) 726-7300 |
| NPI Number | 1356625966 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356625966 | NPI | - | NPPES |
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