institution
Southern Illinois Medical Services, Nfp
Rural Health Clinic/Center in Benton, Illinois
NPI 1982845137

Southern Illinois Medical Services, Nfp is a Rural Health Clinic/Center based in Benton, IL and is specialized in Rural Health. Southern Illinois Medical Services, Nfp practices in Benton, IL. The NPI Number for Southern Illinois Medical Services, Nfp is 1982845137 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Medical Services, Nfp is 203 Bailey Ln, Benton, IL and can be reached out via phone at 618-438-5670 and via fax at 618-438-5709.

Location: 203 Bailey Ln, Benton, IL, 62812-1969
institution
Provider Profile Details
NPI Number
1982845137
Provider Name
Southern Illinois Medical Services, Nfp
Credential
Provider Entity Type
Organization
Address
203 Bailey Ln, Benton, IL, 62812-1969
Phone Number
618-438-5670
Fax Number
618-438-5709
Provider Enumeration Date
03/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XXXXXXXXX002 05 IL
institution
Provider Business Practice Location Address Details
Address
203 Bailey Ln
City
State
Zip
62812-1969
Phone Number
618-438-5670
Fax Number
618-438-5709
person
Provider Business Mailing Address Details
Address
203 Bailey Ln
City
State
Zip
62812-1969
Phone Number
618-438-5670
Fax Number
618-438-5709
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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