Southern Illinois Medical Care Associates Llc in Marion - Nurse Practitioner
Southern Illinois Medical Care Associates Llc - NPI 1720183320
Southern Illinois Medical Care Associates Llc is a Nurse Practitioner in Marion, Illinois. Southern Illinois Medical Care Associates Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Southern Illinois Medical Care Associates Llc is 1720183320. The last update date is 2023-07-07.
Southern Illinois Medical Care Associates Llc's current location address is 3411 Professional Park Dr, Marion, Illinois. You can contact this provider via phone number 6189972161. The mailing address for Southern Illinois Medical Care Associates Llc is 3411 Professional Park Dr, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southern Illinois Medical Care Associates Llc |
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Address | 3411 Professional Park Dr, Marion, Illinois |
Phone Number | 6189972161 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. DIRECT |
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Authorized Official Name | Fey J Laura |
Telephone Number | 6152213641 |
NPI Number Detail
NPI Number | 1720183320 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2023-07-07 |
Provider Mailing Address Detail
Address | 3411 Professional Park Dr |
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City | Marion |
State | Illinois (IL) |
Post Code | 629596394 |
Phone Number | 6189972161 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Southern Illinois Medical Care Associates Llc by the Centers for Medicare & Medicaid Services?
The Southern Illinois Medical Care Associates Llc has been assigned the NPI (National Provider Identifier) 1720183320. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Southern Illinois Medical Care Associates Llc's facilities are situated?
The facilities of Southern Illinois Medical Care Associates Llc are physically located at the following address: 3411 Professional Park Dr, Marion, IL, 629596394.
What is Southern Illinois Medical Care Associates Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southern Illinois Medical Care Associates Llc is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date was the 1720183320 assigned to Southern Illinois Medical Care Associates Llc?
The Southern Illinois Medical Care Associates Llc was issued its 1720183320 on 2006-09-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Southern Illinois Medical Care Associates Llc's details last updated?
The information pertaining to the Southern Illinois Medical Care Associates Llc, including its address, specialty, and other details, was most recently updated on 2023-07-07.