Southern Illinois Consultants for Kidney Disease, S.c.
NPI #1144283300 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1144283300
- Entity Type
- Organization
- Organization Name
- Southern Illinois Consultants for Kidney Disease, S.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jan 27, 2012
Practice Location
- Address
- 416 N 12TH ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-4314
- Phone
- (618) 244-4850
Authorized Official
- Name
- DR. STEVEN J. ZELMAN, M.D.
- Title
- C.E.O.
- Phone
- (618) 244-4850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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