Southern Illinois Primary Care Associates, P.c.

NPI 1154383370 - Internal Medicine - 207R00000X

NPI Details
NPI 1154383370
Enumeration Date 04/04/2006
Last Updated 10/06/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CATHY L CATHY
Position DIRECTOR OF BUSINESS/CORP SECRETARY
Phone (618) 842-4470
Fax (618) 842-3437
Practice Location
103 COMMERCE ST
CARMI IL, 62821-2223, US
Phone (618) 842-4470
Fax (618) 842-3437
Business Location
209 NW 11TH ST
FAIRFIELD IL, 62837-1218, US
Phone (618) 842-4470
Fax (618) 842-3437
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 060008906
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According to our database, Southern Illinois Primary Care Associates, P.c. NPI is 1154383370, taxonomy code is 207R00000X and license number is 060008906, license state is located at Illinois. Southern Illinois Primary Care Associates, P.c. physically located at 103 Commerce St, Carmi IL, 62821-2223. NPI Number 1033115704 has the healthcare provider type.

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1154383370 NPI number is provided on an as is basis without warranty of any kind. 1154383370 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Illinois Primary Care Associates, P.c. are for informational purposes only.