SOUTHERN ILLINOIS FAMILY MEDICINE CORPORATION NPI 1629086806

NPI Information

NPI: 1629086806
Provider Name: SOUTHERN ILLINOIS FAMILY MEDICINE CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
104 MAGNOLIA DR STE A
GLEN CARBON, IL
ZIP 62034
Phone: (618) 288-9466
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SOUTHERN ILLINOIS FAMILY MEDICINE CORPORATION is a family medicine in Glen Carbon, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHERN ILLINOIS FAMILY MEDICINE CORPORATION NPI is 1629086806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 MAGNOLIA DR STE A
GLEN CARBON, IL
ZIP 62034-595
Phone: (618) 288-9466

The provider's authorized official is Jim Hong .
The authorized official title is Owner and has the following contact phone number (618) 288-9466.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 2/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		036114185	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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