Southern Illinois Vein Center, LLC

NPI #1295927697 in Marion, Illinois

Provider Information

NPI Number: 1295927697
Entity Type: Organization
Organization Name: Southern Illinois Vein Center, LLC
Primary Specialty: Surgery
Enumeration Date: Aug 10, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 3106 OUTER DR
Address 2: SUITE 100
City: Marion
State: Illinois
ZIP Code: 62959-5270
Phone: (618) 998-8346

Authorized Official

Name: DR. JAMES ROBELEN, M.D.
Title: OWNER
Phone: (618) 998-8346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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