MEDICARE: DR. WROPHAS MEEKS MD

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	2085R0202X	Diagnostic Radiology Physician		IL

General Provider Information

NPI Number	:	1881691756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WROPHAS MEEKS MD

Provider Business Mailing Address
First Line	:	500 LINCOLN DR
Second Line	:	STE C
City	:	HERRIN
State	:	IL
Zip	:	62948-6334
Country	:	US
Telephone Number	:	618-998-9633
Fax Number	:	618-998-9623

Provider Business Practice Location Address
First Line	:	500 LINCOLN DR
Second Line	:	STE C
City	:	HERRIN
State	:	IL
Zip	:	62948-6334
Country	:	US
Telephone Number	:	618-998-9633
Fax Number	:	618-998-9623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. WROPHAS MEEKS MD” Practice Location

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