Neurology Of Southern Illinois, Ltd. in Herrin - Neurology
Neurology Of Southern Illinois, Ltd. - NPI 1003950395
Neurology Of Southern Illinois, Ltd. is a Neurology in Herrin, Illinois. Neurology Of Southern Illinois, Ltd. practices all healthcare services and medical treatments related to Neurology. The NPI Number for Neurology Of Southern Illinois, Ltd. is 1003950395. The last update date is 2020-08-22.
Neurology Of Southern Illinois, Ltd.'s current location address is 3301 Logan Dr, Herrin, Illinois. You can contact this provider via phone number 6189930444 and fax number 6189989302. The mailing address for Neurology Of Southern Illinois, Ltd. is 3301 Logan Dr, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neurology Of Southern Illinois, Ltd. |
|---|---|
| Address | 3301 Logan Dr, Herrin, Illinois |
| Phone Number | 6189930444 |
| Fax Number | 6189989302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D. |
|---|---|
| Authorized Official Name | Guyton Marie Lori |
| Credentials | MD |
| Telephone Number | 6189930444 |
NPI Number Detail
| NPI Number | 1003950395 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3301 Logan Dr |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629483732 |
| Phone Number | 6189930444 |
| Fax Number | 6189989302 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10008620 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Neurology Of Southern Illinois, Ltd.'s 1003950395?
The Neurology Of Southern Illinois, Ltd.'s NPI (National Provider Identifier) Number is 1003950395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Neurology Of Southern Illinois, Ltd.?
The Neurology Of Southern Illinois, Ltd. is situated at 3301 Logan Dr, in the city of Herrin, state of IL, with the zip code 629483732.
What is the area of specialization for Neurology Of Southern Illinois, Ltd., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Neurology Of Southern Illinois, Ltd. is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.
On what date did the Neurology Of Southern Illinois, Ltd. receive its 1003950395 assignment from the Centers for Medicare & Medicaid Services?
The Neurology Of Southern Illinois, Ltd. was assigned its 1003950395 by the Centers for Medicare & Medicaid Services on 2007-02-19.
As of what date were the details related to Neurology Of Southern Illinois, Ltd. most recently updated or revised?
The information pertaining to Neurology Of Southern Illinois, Ltd., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.