| Ace Medical Services LLC | |
|
929 Ridgecrest Dr Belleville IL 62220-3163 | |
| (618) 340-3225 | |
| Not Available |
| Full Name | Ace Medical Services LLC |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 929 Ridgecrest Dr, Belleville, Illinois |
| Authorized Official Name and Position | Katrina Smith (ADMIN) |
| Authorized Official Contact | 2195139019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Medical Services LLC 929 Ridgecrest Dr Belleville IL 62220-3163 Ph: (618) 340-3225 | Ace Medical Services LLC 929 Ridgecrest Dr Belleville IL 62220-3163 Ph: (618) 340-3225 |
| NPI Number | 1144753096 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144753096 | NPI | - | NPPES |
| 209011911 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209011911 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209011911 (Illinois) | Primary |
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