Physician Services Corp of Southern Illinois

NPI #1619109543 in Salem, Illinois

Provider Information

NPI Number
1619109543
Entity Type
Organization
Organization Name
Physician Services Corp of Southern Illinois
Subpart
Yes (part of a larger organization)
Parent Organization
PHYSICAN SEVICES CORP OF SOUTHERN ILLINOIS
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Aug 11, 2009
Last Updated
Aug 11, 2009

Practice Location

Address
1250 W WHITTAKER ST
City
Salem
ZIP Code
62881-1917
Phone
(618) 532-3950

Authorized Official

Name
MR. RICHARD HUNTINGTON
Title
VP FINANCIAL DEVELOPMENT
Phone
(618) 241-2204

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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