Southern Illinois Allergy&Asthma Center,Sc in Carbondale - Clinic/center

Southern Illinois Allergy&Asthma Center,Sc - NPI 1720175193

Southern Illinois Allergy&Asthma Center,Sc is a Clinic/center in Carbondale, Illinois. Southern Illinois Allergy&Asthma Center,Sc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Southern Illinois Allergy&Asthma Center,Sc is 1720175193. The last update date is 2007-09-19.

Southern Illinois Allergy&Asthma Center,Sc's current location address is 1001 E Main St, Carbondale, Illinois. You can contact this provider via phone number 6185499385 and fax number 6185498795. The mailing address for Southern Illinois Allergy&Asthma Center,Sc is 1001 E Main St, Carbondale, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Illinois Allergy&Asthma Center,Sc
Address 1001 E Main St, Carbondale, Illinois
Phone Number 6185499385
Fax Number 6185498795
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mings Dean Ronald
Credentials M.D.
Telephone Number 6185499385

NPI Number Detail

NPI Number 1720175193
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-09-19

Provider Mailing Address Detail

Address 1001 E Main St
City Carbondale
State Illinois (IL)
Post Code 629013100
Phone Number 6185499385
Fax Number 6185498795

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3927935 IL BLUE CROSS/BLUE SHIELD
27533 IL HEALTH ALLIANCE
101269 IL HEALTHLINK

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FAQs about Southern Illinois Allergy&Asthma Center,Sc

What is the unique 10-digit identifier code issued to Southern Illinois Allergy&Asthma Center,Sc by the Centers for Medicare & Medicaid Services?

The Southern Illinois Allergy&Asthma Center,Sc has been assigned the NPI (National Provider Identifier) 1720175193 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Southern Illinois Allergy&Asthma Center,Sc is geographically located?

The Southern Illinois Allergy&Asthma Center,Sc is physically situated at the following location: 1001 E Main St, Carbondale, IL, 629013100.

What is Southern Illinois Allergy&Asthma Center,Sc'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 Allergy&Asthma Center,Sc is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.

On what date did Southern Illinois Allergy&Asthma Center,Sc receive its 1720175193 assignment from the Centers for Medicare & Medicaid Services?

The Southern Illinois Allergy&Asthma Center,Sc was assigned its 1720175193 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Southern Illinois Allergy&Asthma Center,Sc last refreshed?

The information related to the Southern Illinois Allergy&Asthma Center,Sc, including its address, specialty, and other relevant details, was last updated on 2007-09-19.

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