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Physician Services Corp Of Southern Illinois
Rural Health Clinic/Center in Centralia, Illinois
NPI 1740421536

Physician Services Corp Of Southern Illinois is a Rural Health Clinic/Center based in Centralia, IL and is specialized in Rural Health. Physician Services Corp Of Southern Illinois practices in Centralia, IL. The NPI Number for Physician Services Corp Of Southern Illinois is 1740421536 and holds a License No. 036116791 (Illinois).

The current practice location address for Physician Services Corp Of Southern Illinois is 430 N Pleasant Ave, Centralia, IL and can be reached out via phone at 618-532-9350. You can also correspond with Physician Services Corp Of Southern Illinois through the mailing address at 430 N PLEASANT AVE, CENTRALIA, IL - 62801-3006 (mailing address contact number: 618-532-9350).

Location: 430 N Pleasant Ave, Centralia, IL, 62801-3006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740421536
Provider Name
Physician Services Corp Of Southern Illinois
Credential
Provider Entity Type
Organization
Address
430 N Pleasant Ave, Centralia, IL, 62801-3006
Phone Number
618-532-9350
Fax Number
Provider Enumeration Date
03/09/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831101807 01 IL CMS GRP NPI
institution
Provider Business Practice Location Address Details
Address
430 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801-3006
Phone Number
618-532-9350
Fax Number
person
Provider Business Mailing Address Details
Address
430 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801-3006
Phone Number
618-532-9350
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
002642 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
036116791 (Illinois)
Definition
Definition to come...
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