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Shawnee Health Service And Development Corp
Family Medicine Physician in Johnston City, Illinois
NPI 1841904612

Shawnee Health Service And Development Corp is a Family Medicine Physician based in Carterville, IL. Shawnee Health Service And Development Corp practices in Johnston City, IL. The NPI Number for Shawnee Health Service And Development Corp is 1841904612 and holds a License No. (Illinois).

The current practice location address for Shawnee Health Service And Development Corp is 1500 Jefferson Ave, Johnston City, IL and can be reached out via phone at 618-519-9200 and via fax at 618-998-0880.

Location: 1500 Jefferson Ave, Johnston City, IL, 62918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841904612
Provider Name
Shawnee Health Service And Development Corp
Credential
Provider Entity Type
Organization
Address
1500 Jefferson Ave, Johnston City, IL, 62918
Phone Number
618-519-9200
Fax Number
618-998-0880
Provider Enumeration Date
01/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1500 Jefferson Ave
City
Johnston City
State
Illinois
Zip
62951-1501
Phone Number
618-519-9200
Fax Number
618-998-0880
person
Provider Business Mailing Address Details
Address
1500 Jefferson Ave
City
Johnston City
State
Illinois
Zip
62951-1501
Phone Number
618-519-9200
Fax Number
618-998-0880
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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