Southern Illinois Consultants For Kidney Disease, S.C. in Mount Vernon - Specialist
Southern Illinois Consultants For Kidney Disease, S.C. - NPI 1144283300
Southern Illinois Consultants For Kidney Disease, S.C. is a Specialist in Mount Vernon, Illinois. Southern Illinois Consultants For Kidney Disease, S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Illinois Consultants For Kidney Disease, S.C. is 1144283300. The last update date is 2012-01-27.
Southern Illinois Consultants For Kidney Disease, S.C.'s current location address is Po Box 1704, Mount Vernon, Illinois. You can contact this provider via phone number 6182444850 and fax number 6182447985. The mailing address for Southern Illinois Consultants For Kidney Disease, S.C. is Po Box 1704, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Consultants For Kidney Disease, S.C. |
|---|---|
| Address | Po Box 1704, Mount Vernon, Illinois |
| Phone Number | 6182444850 |
| Fax Number | 6182447985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Zelman J. Steven |
| Credentials | M.D. |
| Telephone Number | 6182444850 |
NPI Number Detail
| NPI Number | 1144283300 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2012-01-27 |
Provider Mailing Address Detail
| Address | Po Box 1704 |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628640034 |
| Phone Number | 6182444850 |
| Fax Number | 6182447985 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 060-007470 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4123105 | BLUE CROSS BLUE SHIELD | ||
| 3523854003 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southern Illinois Consultants For Kidney Disease, S.C. by the Centers for Medicare & Medicaid Services?
The Southern Illinois Consultants For Kidney Disease, S.C. has been issued the NPI (National Provider Identifier) 1144283300 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Southern Illinois Consultants For Kidney Disease, S.C.'s facilities are situated?
The facilities of Southern Illinois Consultants For Kidney Disease, S.C. are physically located at the following address: Po Box 1704, Mount Vernon, IL, 628640034.
What is Southern Illinois Consultants For Kidney Disease, S.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Illinois Consultants For Kidney Disease, S.C. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did Southern Illinois Consultants For Kidney Disease, S.C. receive its 1144283300 assignment?
The Southern Illinois Consultants For Kidney Disease, S.C. was assigned its 1144283300 on 2006-04-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Southern Illinois Consultants For Kidney Disease, S.C.'s details last updated?
The information pertaining to the Southern Illinois Consultants For Kidney Disease, S.C., including its address, specialty, and other details, was most recently updated on 2012-01-27.
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