Southern Illinois Surgical Appliance Co
NPI #1194836346 in Belleville, Illinois
Provider Information
- NPI Number
- 1194836346
- Entity Type
- Organization
- Organization Name
- Southern Illinois Surgical Appliance Co
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 555 S BELT W
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-2485
- Phone
- (618) 234-7342
Authorized Official
- Name
- MR. ROBERT R LEWIS
- Title
- PRESIDENT
- Phone
- (618) 932-3157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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