Health Plan of Southern Illinois, Inc.

NPI #1215925102 in Benton, Illinois

Provider Information

NPI Number
1215925102
Entity Type
Organization
Organization Name
Health Plan of Southern Illinois, Inc.
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Oct 13, 2005
Last Updated
Jan 23, 2009

Practice Location

Address
205 BAILEY LN
City
Benton
ZIP Code
62812-1921
Phone
(618) 439-3706

Authorized Official

Name
DR. JAMES DURHAM, M.D.
Title
MEDICAL DIRECTOR
Phone
(618) 439-3706

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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