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St. Louis Jc Vamc
VA Clinic/Center in Carbondale, Illinois
NPI 1992067995

St. Louis Jc Vamc is a VA Clinic/Center based in Cleveland, IL and is specialized in VA. St. Louis Jc Vamc practices in Carbondale, IL. The NPI Number for St. Louis Jc Vamc is 1992067995 and holds a License No. (Illinois).

The current practice location address for St. Louis Jc Vamc is 1130 E Walnut St, Carbondale, IL and can be reached out via phone at 913-578-4409.

Location: 1130 E Walnut St, Carbondale, IL, 44101-4462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992067995
Provider Name
St. Louis Jc Vamc
Credential
Provider Entity Type
Organization
Address
1130 E Walnut St, Carbondale, IL, 44101-4462
Phone Number
913-578-4409
Fax Number
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1130 E Walnut St
City
Carbondale
State
Illinois
Zip
62901-5007
Phone Number
913-578-4409
Fax Number
person
Provider Business Mailing Address Details
Address
1130 E Walnut St
City
Carbondale
State
Illinois
Zip
62901-5007
Phone Number
913-578-4409
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
()
Definition
Definition to come...
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