institution
The Carbondale Clinic
Multi-Specialty Clinic/Center in Carbondale, Illinois
NPI 1043378565

The Carbondale Clinic is a Multi-Specialty Clinic/Center based in Carbondale, IL and is specialized in Multi-Specialty. The Carbondale Clinic practices in Carbondale, IL. The NPI Number for The Carbondale Clinic is 1043378565 and holds a License No. 042-000266 (Illinois).

The current practice location address for The Carbondale Clinic is 2601 W Main St, Carbondale, IL and can be reached out via phone at 618-457-5200 and via fax at 618-549-5128.

Location: 2601 W Main St, Carbondale, IL, 62901-1031
institution
Provider Profile Details
NPI Number
1043378565
Provider Name
The Carbondale Clinic
Credential
Provider Entity Type
Organization
Address
2601 W Main St, Carbondale, IL, 62901-1031
Phone Number
618-457-5200
Fax Number
618-549-5128
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3910515 01 IL BCBS
690006448 01 IL RAILROAD MEDICARE
614350 01 IL LEGACY
institution
Provider Business Practice Location Address Details
Address
2601 W Main St
City
State
Zip
62901-1031
Phone Number
618-457-5200
Fax Number
618-549-5128
person
Provider Business Mailing Address Details
Address
2601 W Main St
City
State
Zip
62901-1031
Phone Number
618-457-5200
Fax Number
618-549-5128
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
042-000266 (Illinois)
Definition
Definition to come...
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