Legatus Emergency Services of Southern Illinois LLC
NPI #1598796427 in Carbondale, Illinois
Provider Information
- NPI Number
- 1598796427
- Entity Type
- Organization
- Organization Name
- Legatus Emergency Services of Southern Illinois LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Oct 21, 2008
Practice Location
- Address
- 405 W JACKSON ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1462
- Phone
- (618) 549-0721
Authorized Official
- Name
- MR. PATRICK D BARRON
- Title
- PRESIDENT
- Phone
- (636) 728-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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