institution
The Carbondale Clinic Ambulatory Surgical Treatment Center
Ambulatory Surgical Clinic/Center in Carbondale, Illinois
NPI 1679639918

The Carbondale Clinic Ambulatory Surgical Treatment Center is an Ambulatory Surgical Clinic/Center based in Carbondale, IL and is specialized in Ambulatory Surgical. The Carbondale Clinic Ambulatory Surgical Treatment Center practices in Carbondale, IL. The NPI Number for The Carbondale Clinic Ambulatory Surgical Treatment Center is 1679639918 and holds a License No. 7001019 (Illinois).

The current practice location address for The Carbondale Clinic Ambulatory Surgical Treatment Center is 2601 W Main St, Carbondale, IL and can be reached out via phone at 618-549-5361 and via fax at 618-549-5128.

Location: 2601 W Main St, Carbondale, IL, 62901-1031
institution
Provider Profile Details
NPI Number
1679639918
Provider Name
The Carbondale Clinic Ambulatory Surgical Treatment Center
Credential
Provider Entity Type
Organization
Address
2601 W Main St, Carbondale, IL, 62901-1031
Phone Number
618-549-5361
Fax Number
618-549-5128
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490000473 01 IL RAILROAD MEDICARE NUMBER
014101 01 IL HAMP
116485 01 IL HEALTHLINK
141028 01 IL MEDICARE GROUP NUMBER
196077 01 IL GHP
533 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
2601 W Main St
City
State
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-549-5128
person
Provider Business Mailing Address Details
Address
2601 W Main St
City
State
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-549-5128
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7001019 (Illinois)
Definition
Definition to come...
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