MEDICARE: LESTER E COX MEDICAL CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician

General Provider Information

NPI Number	:	1396677696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESTER E COX MEDICAL CENTERS

Provider Business Mailing Address
First Line	:	PO BOX 7411626
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-5626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 S NATIONAL AVE STE 800
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-5210
Country	:	US
Telephone Number	:	417-269-6887
Fax Number	:	417-269-0947

Authorized Official
Title or Position	:	CFO
Name	:	JACOB MCWAY
Credential	:
Telephone Number	:	417-269-8811

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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