institution
Southern Illinois Orthopedic Center,llc
Ambulatory Surgical Clinic/Center in Herrin, Illinois
NPI 1023001377

Southern Illinois Orthopedic Center,llc is an Ambulatory Surgical Clinic/Center based in Sioux Falls, IL and is specialized in Ambulatory Surgical. Southern Illinois Orthopedic Center,llc practices in Herrin, IL. The NPI Number for Southern Illinois Orthopedic Center,llc is 1023001377 and holds a License No. 7002421 (Illinois).

The current practice location address for Southern Illinois Orthopedic Center,llc is 510 Lincoln Dr, Herrin, IL and can be reached out via phone at 618-997-3100 and via fax at 618-997-3616.

Location: 510 Lincoln Dr, Herrin, IL, 57104-5355
institution
Provider Profile Details
NPI Number
1023001377
Provider Name
Southern Illinois Orthopedic Center,llc
Credential
Provider Entity Type
Organization
Address
510 Lincoln Dr, Herrin, IL, 57104-5355
Phone Number
618-997-3100
Fax Number
618-997-3616
Provider Enumeration Date
08/23/2005
Last Update Date
06/15/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
066440 01 HEALTH ALLIANCE
1458 01 IL BC/BS
441874 01 HEALTHLINK
133621000 01 US DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
510 Lincoln Dr
City
State
Zip
62948-6334
Phone Number
618-997-3100
Fax Number
618-997-3616
person
Provider Business Mailing Address Details
Address
510 Lincoln Dr
City
State
Zip
62948-6334
Phone Number
618-997-3100
Fax Number
618-997-3616
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7002421 (Illinois)
Definition
Definition to come...
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