SOUTHERN ILLINOIS TREATMENT CENTER, LLC is a rehabilitation and substance use disorder clinic center in Wood River, IL. SOUTHERN ILLINOIS TREATMENT CENTER, LLC NPI is 1841858404. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Medmark Treatment Centers Wood River.
The provider's business location address is:
304 WESLEY DR STE 302306 WOOD RIVER, IL ZIP 62095-266 Phone: (618) 258-7592
The provider's authorized official is Bruce Jarvie . The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.
The enumeration date for this NPI number is 5/30/2019 and was last updated on 7/29/2024.
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:
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: 3/30/2025
NPI Synchronization or Removal
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