Southern Illinois Healthcare

NPI #1528126257 in Herrin, Illinois

Provider Information

NPI Number
1528126257
Entity Type
Organization
Organization Name
Southern Illinois Healthcare
Primary Specialty
Physical Therapist
Enumeration Date
Dec 5, 2006
Last Updated
Jul 23, 2008

Practice Location

Address
201 S 14TH STREET
City
Herrin
ZIP Code
62948
Phone
(618) 942-2171

Authorized Official

Name
MRS. MARY KAY WIGGS, PT
Title
ORTHOPEDIC PROGRAM COORDINATOR
Phone
(618) 942-2171

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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