institution
So Illinois Neurology & Rehab
Specialist in Mount Vernon, Illinois
NPI 1174648737

So Illinois Neurology & Rehab is a Specialist based in Mount Vernon, IL. So Illinois Neurology & Rehab practices in Mount Vernon, IL. The NPI Number for So Illinois Neurology & Rehab is 1174648737 and holds a License No. 036-051778 (Illinois).

The current practice location address for So Illinois Neurology & Rehab is 1702 Broadway St, Mount Vernon, IL and can be reached out via phone at 618-242-6465 and via fax at 618-242-6463.

Location: 1702 Broadway St, Mount Vernon, IL, 62864-2930
institution
Provider Profile Details
NPI Number
1174648737
Provider Name
So Illinois Neurology & Rehab
Credential
Provider Entity Type
Organization
Address
1702 Broadway St, Mount Vernon, IL, 62864-2930
Phone Number
618-242-6465
Fax Number
618-242-6463
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1702 Broadway St
City
State
Zip
62864-2930
Phone Number
618-242-6465
Fax Number
618-242-6463
person
Provider Business Mailing Address Details
Address
1702 Broadway St
City
State
Zip
62864-2930
Phone Number
618-242-6465
Fax Number
618-242-6463
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036-051778 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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