Koke Mill Medical Associates, Llc

LBN: Koke Mill Medical Associates, Llc
Koke Mill Medical Associates, Llc is an health care organization with primary practice located at 3132 Old Jacksonville Rd , Springfield IL 62704-7400. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Koke Mill Medical Associates, Llc can be contacted via phone (217) 862-0800, or through Dowell, J. Travis via phone (217) 788-3342.

Contact Information

Primary practice address
3132 Old Jacksonville Rd Springfield IL 62704-7400
Phone: (217) 862-0800
Fax: (217) 862-0871
Website:
Map and Directions
Authorized official contact:
Name: Dowell, J. Travis
Phone: (217) 788-3342

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1225289861
LBN Legal business name Koke Mill Medical Associates, Llc
DBA Doing business as
Authorized official Dowell, J. Travis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2008
Last updated Oct 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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