Southern Illinois Healthcare Foundation, Inc. in Sauget - Pediatrics
Southern Illinois Healthcare Foundation, Inc. - NPI 1063691897
Southern Illinois Healthcare Foundation, Inc. is a Pediatrics in Sauget, Illinois. Southern Illinois Healthcare Foundation, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Southern Illinois Healthcare Foundation, Inc. is 1063691897. The last update date is 2022-08-02.
Southern Illinois Healthcare Foundation, Inc.'s current location address is 2041 Goose Lake Rd, Sauget, Illinois. You can contact this provider via phone number 6183320953 and fax number 6183322487. The mailing address for Southern Illinois Healthcare Foundation, Inc. is 2041 Goose Lake Rd, Sauget, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Address | 2041 Goose Lake Rd, Sauget, Illinois |
| Phone Number | 6183320953 |
| Fax Number | 6183322487 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mcculley Larry |
| Telephone Number | 6183320694 |
NPI Number Detail
| NPI Number | 1063691897 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2022-08-02 |
Provider Mailing Address Detail
| Address | 2041 Goose Lake Rd |
|---|---|
| City | Sauget |
| State | Illinois (IL) |
| Post Code | 622062822 |
| Phone Number | 6183320953 |
| Fax Number | 6183322487 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identification code assigned to Southern Illinois Healthcare Foundation, Inc. by the Centers for Medicare & Medicaid Services?
The Southern Illinois Healthcare Foundation, Inc. has been issued the NPI (National Provider Identifier) 1063691897. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Southern Illinois Healthcare Foundation, Inc.?
The Southern Illinois Healthcare Foundation, Inc. is physically situated at 2041 Goose Lake Rd, in the city of Sauget, state of IL, with the postal code 622062822.
What is Southern Illinois Healthcare Foundation, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Illinois Healthcare Foundation, Inc. is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
When did Southern Illinois Healthcare Foundation, Inc. receive its 1063691897 assignment?
The Southern Illinois Healthcare Foundation, Inc. was assigned its 1063691897 on 2007-10-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Southern Illinois Healthcare Foundation, Inc. last refreshed?
The information related to the Southern Illinois Healthcare Foundation, Inc., including its address, specialty, and other relevant details, was last updated on 2022-08-02.
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