Southern Illinois Family Medicine Corporation
NPI #1629086806 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1629086806
- Entity Type
- Organization
- Organization Name
- Southern Illinois Family Medicine Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Feb 1, 2018
Practice Location
- Address
- 104 MAGNOLIA DR STE A
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1595
- Phone
- (618) 288-9466
Authorized Official
- Name
- JIM HONG, MD
- Title
- OWNER
- Phone
- (618) 288-9466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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