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Southern Illinois Urology
Specialist in Marion, Illinois
NPI 1417144726

Southern Illinois Urology is a Specialist based in Marion, IL. Southern Illinois Urology practices in Marion, IL. The NPI Number for Southern Illinois Urology is 1417144726 and holds a License No. 36109353 (Illinois).

The current practice location address for Southern Illinois Urology is 3401 Heartland St, Marion, IL and can be reached out via phone at 618-998-8884 and via fax at 618-998-8810.

Location: 3401 Heartland St, Marion, IL, 62959-6393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417144726
Provider Name
Southern Illinois Urology
Credential
Provider Entity Type
Organization
Address
3401 Heartland St, Marion, IL, 62959-6393
Phone Number
618-998-8884
Fax Number
618-998-8810
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3401 Heartland St
City
Marion
State
Illinois
Zip
62959-6393
Phone Number
618-998-8884
Fax Number
618-998-8810
person
Provider Business Mailing Address Details
Address
3401 Heartland St
City
Marion
State
Illinois
Zip
62959-6393
Phone Number
618-998-8884
Fax Number
618-998-8810
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36109353 (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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