Southern Illinois Surgical Consultants S.c.

NPI #1366540593 in Maryville, Illinois

Provider Information

NPI Number: 1366540593
Entity Type: Organization
Organization Name: Southern Illinois Surgical Consultants S.c.
Primary Specialty: Surgery
Enumeration Date: Sep 20, 2006
Last Updated: Feb 10, 2009

Practice Location

Address: 2227 VADALABENE DR
Address 2: STE 300
City: Maryville
State: Illinois
ZIP Code: 62062-5823
Phone: (618) 288-7485

Authorized Official

Name: DR. MORRIS A KUGLER, M.D.
Title: PRESIDENT
Phone: (618) 288-7485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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