Southern Illinois Primary Care Associates, P.c.

NPI #1144405291 in Fairfield, Illinois

Provider Information

NPI Number
1144405291
Entity Type
Organization
Organization Name
Southern Illinois Primary Care Associates, P.c.
Primary Specialty
Family Medicine
Enumeration Date
Jan 8, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
209 NW 11TH ST
ZIP Code
62837-1218
Phone
(618) 842-4470

Authorized Official

Name
CATHY L HARTE
Title
DIRECTOR OF BUSINESS/CORP SECRETARY
Phone
(618) 842-4470

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Obstetrics & Gynecology
Pediatrics
Physician Assistant
Nurse Practitioner
Family Medicine

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