Southern Illinois Center for Health

NPI #1104988971 in Waterloo, Illinois

Provider Information

NPI Number: 1104988971
Entity Type: Organization
Organization Name: Southern Illinois Center for Health
Primary Specialty: Family Medicine
Enumeration Date: Dec 15, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 509 HAMACHER ST
City: Waterloo
State: Illinois
ZIP Code: 62298-1592
Phone: (618) 939-3939

Authorized Official

Name: JUDY REBHOLZ
Title: OFFICE MANAGER
Phone: (618) 939-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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