Southern Illinois Gi Specialists Llc in Carbondale - Gastroenterology
Southern Illinois Gi Specialists Llc - NPI 1093775405
Southern Illinois Gi Specialists Llc is a Gastroenterology in Carbondale, Illinois. Southern Illinois Gi Specialists Llc practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Southern Illinois Gi Specialists Llc is 1093775405. The last update date is 2008-08-12.
Southern Illinois Gi Specialists Llc's current location address is 1100 W Diann Ln, Carbondale, Illinois. You can contact this provider via phone number 6185498006 and fax number 6185498434. The mailing address for Southern Illinois Gi Specialists Llc is 1100 W Diann Ln, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Gi Specialists Llc |
|---|---|
| Address | 1100 W Diann Ln, Carbondale, Illinois |
| Phone Number | 6185498006 |
| Fax Number | 6185498434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD OWNER |
|---|---|
| Authorized Official Name | Makhdoom A Zahoor |
| Credentials | MD |
| Telephone Number | 6185498006 |
NPI Number Detail
| NPI Number | 1093775405 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 1100 W Diann Ln |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629015339 |
| Phone Number | 6185498006 |
| Fax Number | 6185498434 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 36094155 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63398 | HEALTH ALLIANCE HMO | ||
| 36094155 | IL | -- | |
| 3926864 | IL | BCBS IL | |
| 435384 | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southern Illinois Gi Specialists Llc by the Centers for Medicare & Medicaid Services?
The Southern Illinois Gi Specialists Llc has been issued the NPI (National Provider Identifier) 1093775405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Southern Illinois Gi Specialists Llc is located?
The Southern Illinois Gi Specialists Llc is situated at the following address: 1100 W Diann Ln, Carbondale, IL, 629015339.
What is the Southern Illinois Gi Specialists Llc's area of specialization and corresponding taxonomy classification?
The Southern Illinois Gi Specialists Llc's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093775405 to Southern Illinois Gi Specialists Llc?
The Southern Illinois Gi Specialists Llc received its 1093775405 assignment from the Centers for Medicare & Medicaid Services on 2006-03-28.
As of what date were the Southern Illinois Gi Specialists Llc's details last updated?
The information pertaining to the Southern Illinois Gi Specialists Llc, including its address, specialty, and other details, was most recently updated on 2008-08-12.