So Illinois Neurology & Rehab

NPI #1174648737 in Mount Vernon, Illinois

Provider Information

NPI Number: 1174648737
Entity Type: Organization
Organization Name: So Illinois Neurology & Rehab
Primary Specialty: Specialist
Enumeration Date: Mar 20, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 1702 BROADWAY ST
Address 2: SUITE C
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2930
Phone: (618) 242-6465

Authorized Official

Name: DR. PRITAM S SAHNI, M.D.
Title: OWNER
Phone: (618) 242-6465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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