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Southern Illinois Family Foot Care, Llc
Medical Specialty Clinic/Center in Mount Vernon, Illinois
NPI 1972843613

Southern Illinois Family Foot Care, Llc is a Medical Specialty Clinic/Center based in Mount Vernon, IL and is specialized in Medical Specialty. Southern Illinois Family Foot Care, Llc practices in Mount Vernon, IL. The NPI Number for Southern Illinois Family Foot Care, Llc is 1972843613 and holds a License No. 016003846 (Illinois).

The current practice location address for Southern Illinois Family Foot Care, Llc is 221 N 27Th St, Mount Vernon, IL and can be reached out via phone at 618-244-3668.

Location: 221 N 27Th St, Mount Vernon, IL, 62864-2941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972843613
Provider Name
Southern Illinois Family Foot Care, Llc
Credential
Provider Entity Type
Organization
Address
221 N 27Th St, Mount Vernon, IL, 62864-2941
Phone Number
618-244-3668
Fax Number
Provider Enumeration Date
02/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285744060 05 IL
institution
Provider Business Practice Location Address Details
Address
221 N 27Th St
City
Mount Vernon
State
Illinois
Zip
62864-2941
Phone Number
618-244-3668
Fax Number
person
Provider Business Mailing Address Details
Address
221 N 27Th St
City
Mount Vernon
State
Illinois
Zip
62864-2941
Phone Number
618-244-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
016003846 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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