Healthcare Provider Details

I. General information

NPI: 1841358546
Provider Name (Legal Business Name): ACCURACY URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W DEYOUNG ST SUITE E
MARION IL
62959-1604
US

IV. Provider business mailing address

805 W DEYOUNG ST SUITE E
MARION IL
62959-1604
US

V. Phone/Fax

Practice location:
  • Phone: 618-998-1900
  • Fax: 618-998-1990
Mailing address:
  • Phone: 618-998-1900
  • Fax: 618-998-1990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number036-104784
License Number StateIL

VIII. Authorized Official

Name: MS. DONNETTA MARIE BYRLEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 618-998-1900