Sleep & Neurology Center of Southern Illinois, LLC
NPI #1053437038 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1053437038
- Entity Type
- Organization
- Organization Name
- Sleep & Neurology Center of Southern Illinois, LLC
- Primary Specialty
- Psychiatry & Neurology - Sleep Medicine
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 20, 2021
Practice Location
- Address
- 2 GOOD SAMARITAN WAY
- Address 2
- SUITE 400
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2478
- Phone
- (618) 241-1869
Authorized Official
- Name
- JOHN SNODSMITH
- Title
- REGIONAL VP FINANCE, CFO
- Phone
- (618) 899-1040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Sleep Medicine — Sleep Medicine |
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