Health Ventures of Southern Illinois INC
NPI #1396725974 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1396725974
- Entity Type
- Organization
- Organization Name
- Health Ventures of Southern Illinois INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4804 S STATE ROUTE 157
- Address 2
- STE 200
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1904
- Phone
- (618) 288-7064
Authorized Official
- Name
- MR. EDWARD HUGHES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 343-0639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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