Orthopaedic Center of Southern Illinois, Ltd.

NPI #1134171226 in Mount Vernon, Illinois

Provider Information

NPI Number: 1134171226
Entity Type: Organization
Organization Name: Orthopaedic Center of Southern Illinois, Ltd.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: May 17, 2006
Last Updated: Dec 18, 2014

Practice Location

Address: 4121 VETERANS MEMORIAL DR
City: Mount Vernon
State: Illinois
ZIP Code: 62864-6262
Phone: (618) 242-3778

Authorized Official

Name: DR. JEAN BENOIT HOULE, M.D.
Title: PRESIDENT
Phone: (618) 242-3778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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