Physician Services Corp of Southern Illinois
NPI #1548264237 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1548264237
- Entity Type
- Organization
- Organization Name
- Physician Services Corp of Southern Illinois
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHYSICIAN SERVICES CORP OF SOUTHERN ILLINOIS
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 9, 2005
- Last Updated
- Apr 2, 2009
Practice Location
- Address
- 8 CUSUMANO PROFESSIONAL PLAZA DR
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6736
- Phone
- (618) 242-7819
Authorized Official
- Name
- MR. RICHARD HUNTINGTON
- Title
- VP FINANCIAL DEVELOPMENT
- Phone
- (618) 241-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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