Southern Illinois Medical Plaza Sc in Carbondale - Chiropractor
Southern Illinois Medical Plaza Sc - NPI 1578746228
Southern Illinois Medical Plaza Sc is a Chiropractor in Carbondale, Illinois. Southern Illinois Medical Plaza Sc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Southern Illinois Medical Plaza Sc is 1578746228. The last update date is 2010-09-21.
Southern Illinois Medical Plaza Sc's current location address is 2250 Reed Station Pkwy, Carbondale, Illinois. You can contact this provider via phone number 6185291943 and fax number 6185492975. The mailing address for Southern Illinois Medical Plaza Sc is 2250 Reed Station Pkwy, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Medical Plaza Sc |
|---|---|
| Address | 2250 Reed Station Pkwy, Carbondale, Illinois |
| Phone Number | 6185291943 |
| Fax Number | 6185492975 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Barrett Patrick Steven |
| Credentials | D.C. |
| Telephone Number | 6185291943 |
NPI Number Detail
| NPI Number | 1578746228 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2010-09-21 |
Provider Mailing Address Detail
| Address | 2250 Reed Station Pkwy |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 62901 |
| Phone Number | 6185291943 |
| Fax Number | 6185492975 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38007699 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3932090 | IL | BCBS OF IL GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Southern Illinois Medical Plaza Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Illinois Medical Plaza Sc has been assigned the NPI (National Provider Identifier) 1578746228. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Southern Illinois Medical Plaza Sc's facilities are situated?
The facilities of Southern Illinois Medical Plaza Sc are physically located at the following address: 2250 Reed Station Pkwy, Carbondale, IL, 62901.
What is the Southern Illinois Medical Plaza Sc's area of specialization and corresponding taxonomy classification?
The Southern Illinois Medical Plaza Sc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When was the Southern Illinois Medical Plaza Sc's 1578746228 issued?
The Southern Illinois Medical Plaza Sc's 1578746228 was issued on 2007-12-17.
When was the information regarding Southern Illinois Medical Plaza Sc most recently updated?
The details pertaining to the Southern Illinois Medical Plaza Sc, including its address, specialty, and other relevant information, were last refreshed on 2010-09-21.
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