Southwestern Illinois College
NPI #1063728871 in Belleville, Illinois
Provider Information
- NPI Number
- 1063728871
- Entity Type
- Organization
- Organization Name
- Southwestern Illinois College
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Aug 31, 2010
- Last Updated
- Aug 31, 2010
Practice Location
- Address
- 718 SCHEEL ST
- Address 2
- SUITE C
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-4159
- Phone
- (618) 239-0749
Authorized Official
- Name
- MS. JULIE LYNN KEIM
- Title
- MEDICAID SPECIALIST
- Phone
- (618) 239-0749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Secured Medical Transport (VAN) |
| Non-emergency Medical Transport (VAN) |
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