Southern Illinois Consultants For Kidney Disease, S.c.

NPI 1144283300 - Specialist - 174400000X

NPI Details
NPI 1144283300
Enumeration Date 04/10/2006
Last Updated 01/27/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEVEN J. STEVEN
Position C.E.O.
Phone (618) 244-4850
Fax (618) 244-7985
Practice Location
416 N 12TH ST
MOUNT VERNON IL, 62864-4314, US
Phone (618) 244-4850
Fax (618) 244-7985
Business Location
PO BOX 1704
MOUNT VERNON IL, 62864-0034, US
Phone (618) 244-4850
Fax (618) 244-7985
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 060-007470
Remove 1144283300 NPI Number
 

According to our database, Southern Illinois Consultants For Kidney Disease, S.c. NPI is 1144283300, taxonomy code is 174400000X and license number is 060-007470, license state is located at Illinois. Southern Illinois Consultants For Kidney Disease, S.c. physically located at 416 N 12th St, Mount Vernon IL, 62864-4314. NPI Number 1033115704 has the healthcare provider type.

1144283300 NPI number is provided on an as is basis without warranty of any kind. 1144283300 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Illinois Consultants For Kidney Disease, S.c. are for informational purposes only.