BONHAM EMERGENCY MEDICINE LLC NPI 1861654774

NPI Information

  • NPI: 1861654774
  • Provider Name: BONHAM EMERGENCY MEDICINE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: GEMS EXPRESS CARE
  • Address: 76 CARLYLE PLAZA DR
    BELLEVILLE, IL
    ZIP 62221
  • Phone: (618) 416-6560

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NPI Details

BONHAM EMERGENCY MEDICINE LLC is a family medicine in Belleville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BONHAM EMERGENCY MEDICINE LLC NPI is 1861654774. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gems Express Care.

The provider's business location address is:

76 CARLYLE PLAZA DR
BELLEVILLE, IL
ZIP 62221-677
Phone: (618) 416-6560
Fax: (618) 416-6561

The provider's authorized official is Ruby F Yates .
The authorized official title is President and has the following contact phone number (618) 277-5974.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 1/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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