14D0702960 CLIA NUMBER - SOUTHERN IL INTERNAL MEDICINE - MAZHAR

Laboratory Demographics

CLIA Number: 14D0702960

Facility Name: SOUTHERN IL INTERNAL MEDICINE - MAZHAR

Facility Address:
5032A N ILLINOIS ST
FAIRVIEW HEIGHTS, IL
ZIP 62208
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Facility Phone Number: (618) 235-8720

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1376630103

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	14D0702960
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHERN IL INTERNAL MEDICINE - MAZHAR
Street	5032A N ILLINOIS ST
City	FAIRVIEW HEIGHTS
State	IL
ZIP	62208
Phone	(618) 235-8720

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This page was last updated on: 5/11/2023