Southern Illinois Psychiatry Llc in Marion - Psychiatry
Southern Illinois Psychiatry Llc - NPI 1992988299
Southern Illinois Psychiatry Llc is a Psychiatry in Marion, Illinois. Southern Illinois Psychiatry Llc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Southern Illinois Psychiatry Llc is 1992988299. The last update date is 2009-08-04.
Southern Illinois Psychiatry Llc's current location address is 4503 W Deyoung St Ste C-103, Marion, Illinois. You can contact this provider via phone number 6189980888 and fax number 6189931808. The mailing address for Southern Illinois Psychiatry Llc is 4503 W Deyoung St Ste C-103, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Psychiatry Llc |
|---|---|
| Address | 4503 W Deyoung St Ste C-103, Marion, Illinois |
| Phone Number | 6189980888 |
| Fax Number | 6189931808 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Qureshi A Naeem |
| Telephone Number | 6189980888 |
NPI Number Detail
| NPI Number | 1992988299 |
|---|---|
| Provider Enumeration Date | 2007-12-10 |
| Last Updated Date | 2009-08-04 |
Provider Mailing Address Detail
| Address | 4503 W Deyoung St Ste C-103 |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629590030 |
| Phone Number | 6189980888 |
| Fax Number | 6189931808 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36094666 | IL | -- | |
| 207779 | IL | MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Southern Illinois Psychiatry Llc by the Centers for Medicare & Medicaid Services?
The Southern Illinois Psychiatry Llc has been assigned the NPI (National Provider Identifier) 1992988299. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southern Illinois Psychiatry Llc?
The Southern Illinois Psychiatry Llc is situated at 4503 W Deyoung St Ste C-103, in the city of Marion, state of IL, with the zip code 629590030.
What is the Southern Illinois Psychiatry Llc's specialty and taxonomy code?
The Southern Illinois Psychiatry Llc's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When was the Southern Illinois Psychiatry Llc's 1992988299 issued?
The Southern Illinois Psychiatry Llc's 1992988299 was issued on 2007-12-10.
When was the information regarding Southern Illinois Psychiatry Llc most recently updated?
The details pertaining to the Southern Illinois Psychiatry Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-08-04.
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