Southern Illinois Neurologic Institute
NPI #1629190657 in Belleville, Illinois
Provider Information
- NPI Number
- 1629190657
- Entity Type
- Organization
- Organization Name
- Southern Illinois Neurologic Institute
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 100 N JACKSON ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1427
- Phone
- (618) 239-6660
Authorized Official
- Name
- DR. GUY TIMOTHY BURROWS, M.D.
- Title
- OWNER
- Phone
- (618) 239-6660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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