Southern Illinois Associates Llc in Maryville - Psychiatry
Southern Illinois Associates Llc - NPI 1962427856
Southern Illinois Associates Llc is a Psychiatry in Maryville, Illinois. Southern Illinois Associates Llc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Southern Illinois Associates Llc is 1962427856. The last update date is 2023-08-18.
Southern Illinois Associates Llc's current location address is 6805 State Route 162 Ste 201, Maryville, Illinois. You can contact this provider via phone number 6182885019 and fax number 6182885059. The mailing address for Southern Illinois Associates Llc is 6805 State Route 162 Ste 201, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Associates Llc |
|---|---|
| Address | 6805 State Route 162 Ste 201, Maryville, Illinois |
| Phone Number | 6182885019 |
| Fax Number | 6182885059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nigam Sanjay |
| Credentials | MD |
| Telephone Number | 6182885019 |
NPI Number Detail
| NPI Number | 1962427856 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2023-08-18 |
Provider Mailing Address Detail
| Address | 6805 State Route 162 Ste 201 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628530 |
| Phone Number | 6182885019 |
| Fax Number | 6182885059 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36107024 |
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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 |
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Post Comment/ Review Below
What is the Southern Illinois Associates Llc's unique identification number?
The Southern Illinois Associates Llc has been assigned the NPI (National Provider Identifier) Number 1962427856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Southern Illinois Associates Llc is located?
The Southern Illinois Associates Llc is situated at the following address: 6805 State Route 162 Ste 201, Maryville, IL, 620628530.
What is Southern Illinois Associates Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern Illinois Associates Llc is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962427856 to Southern Illinois Associates Llc?
The Centers for Medicare & Medicaid Services originally issued the 1962427856 to Southern Illinois Associates Llc on 2006-07-13.
As of what date was the information pertaining to Southern Illinois Associates Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southern Illinois Associates Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-18.
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