Southern Illinois Internal Medicine Ltd
NPI #1376630103 in Belleville, Illinois
Provider Information
- NPI Number
- 1376630103
- Entity Type
- Organization
- Organization Name
- Southern Illinois Internal Medicine Ltd
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Mar 7, 2008
Practice Location
- Address
- 4600 MEMORIAL DRIVE
- Address 2
- SUITE 310
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5366
- Phone
- (618) 235-8720
Authorized Official
- Name
- MAZHAR H LAKHO, MD
- Title
- OWNER PHYSICIAN
- Phone
- (618) 235-8720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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