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NPI Code Detail

MEDICARE: LESTER E. COX MEDICAL CENTERS

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
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1740416098
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 : 417-730-6430
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 1423 N JEFFERSON AVE STE B200
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-1953
Country : US
Telephone Number : 417-269-6891
Fax Number : 417-269-5595
Authorized Official
Title or Position : SR VP & CFO
Name : JACOB MCWAY
Credential :
Telephone Number : 417-269-8811
Provider Enumeration Date : 06/01/2009
Last Update Date : 10/17/2025

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Directions to “LESTER E. COX MEDICAL CENTERS ” Practice Location

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