Southern Illinois Healthcare Foundation, Inc.

NPI #1699066985 in Belleville, Illinois

Provider Information

NPI Number
1699066985
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 21, 2011
Last Updated
Aug 2, 2011

Practice Location

Address
2810 FRANK SCOTT PKWY W
ZIP Code
62223-5007
Phone
(618) 236-6336

Authorized Official

Name
MR. LARRY MCCULLEY
Title
CEO
Phone
(618) 332-0694

Specialties & Taxonomy Codes

Specialty
Pediatrics
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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