Gastroenterology Care of Southern Illinois, LLC

NPI #1609914183 in Herrin, Illinois

Provider Information

NPI Number
1609914183
Entity Type
Organization
Organization Name
Gastroenterology Care of Southern Illinois, LLC
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Feb 4, 2007
Last Updated
Jul 4, 2025

Practice Location

Address
3301 PATRIOT CT
City
Herrin
ZIP Code
62948-3782
Phone
(618) 998-8885

Authorized Official

Name
MR. SUSHILKUNAR MAHABIRPRASAD TIBREWALA, M.D.
Title
PRESIDENT
Phone
(618) 998-8885

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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