Southern Illinois Medical Services Nfp in Carbondale - Internal Medicine
Southern Illinois Medical Services Nfp - NPI 1770656837
Southern Illinois Medical Services Nfp is a Internal Medicine in Carbondale, Illinois. Southern Illinois Medical Services Nfp practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southern Illinois Medical Services Nfp is 1770656837. The last update date is 2018-05-24.
Southern Illinois Medical Services Nfp's current location address is 1239 E Main St, Carbondale, Illinois. You can contact this provider via phone number 6184575200 and fax number 6185290568. The mailing address for Southern Illinois Medical Services Nfp is 1239 E Main St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Medical Services Nfp |
|---|---|
| Address | 1239 E Main St, Carbondale, Illinois |
| Phone Number | 6184575200 |
| Fax Number | 6185290568 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VP |
|---|---|
| Authorized Official Name | Schaefer Phil |
| Telephone Number | 6184575200 |
NPI Number Detail
| NPI Number | 1770656837 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2018-05-24 |
Provider Mailing Address Detail
| Address | 1239 E Main St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629013175 |
| Phone Number | 6184575200 |
| Fax Number | 6185290568 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3932056 | IL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Southern Illinois Medical Services Nfp by the Centers for Medicare & Medicaid Services?
The Southern Illinois Medical Services Nfp has been issued the NPI (National Provider Identifier) 1770656837. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Southern Illinois Medical Services Nfp's physical address?
The Southern Illinois Medical Services Nfp is physically located at 1239 E Main St, in the city of Carbondale, IL, with the postal code 629013175.
What is Southern Illinois Medical Services Nfp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southern Illinois Medical Services Nfp is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Southern Illinois Medical Services Nfp receive the assignment of its 1770656837 from the Centers for Medicare & Medicaid Services?
The Southern Illinois Medical Services Nfp was issued its 1770656837 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date were the details pertaining to Southern Illinois Medical Services Nfp last refreshed?
The information related to the Southern Illinois Medical Services Nfp, including its address, specialty, and other relevant details, was last updated on 2018-05-24.