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Southern Illinois Allergy&asthma Center,sc
Clinic/Center in Carbondale, Illinois
NPI 1720175193

Southern Illinois Allergy&asthma Center,sc is a Clinic/Center based in Carbondale, IL. Southern Illinois Allergy&asthma Center,sc practices in Carbondale, IL. The NPI Number for Southern Illinois Allergy&asthma Center,sc is 1720175193 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Allergy&asthma Center,sc is 1001 E Main St, Carbondale, IL and can be reached out via phone at 618-549-9385 and via fax at 618-549-8795.

Location: 1001 E Main St, Carbondale, IL, 62901-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720175193
Provider Name
Southern Illinois Allergy&asthma Center,sc
Credential
Provider Entity Type
Organization
Address
1001 E Main St, Carbondale, IL, 62901-3100
Phone Number
618-549-9385
Fax Number
618-549-8795
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03927935 01 IL BLUE CROSS/BLUE SHIELD
027533 01 IL HEALTH ALLIANCE
101269 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
1001 E Main St
City
Carbondale
State
Illinois
Zip
62901-3100
Phone Number
618-549-9385
Fax Number
618-549-8795
person
Provider Business Mailing Address Details
Address
1001 E Main St
City
Carbondale
State
Illinois
Zip
62901-3100
Phone Number
618-549-9385
Fax Number
618-549-8795
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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